Individual
KATHRYN REECE SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8770 SW SCOFFINS ST, TIGARD, OR 97223-6226
(503) 684-1424
Mailing address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 645-3581
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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