Individual
LARRY KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1423 SE 23RD AVE, PORTLAND, OR 97214-3908
(503) 236-3108
(503) 236-3239
Mailing address
1423 SE 23RD AVE, PORTLAND, OR 97214-3908
(503) 236-3108
(503) 236-3239
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12482
OR
225700000X
Massage Therapist
MA00009527
WA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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