Individual
KJIRSTEN NAOMI REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1605 NE BROADWAY, 1B, PORTLAND, OR 97232-1425
(503) 970-4487
Mailing address
PO BOX 6892, PORTLAND, OR 97228-6892
(503) 970-4487
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8067
OR
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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