Individual
KURT CHARLES WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1303 NE WEIDLER ST., PORTLAND, OR 97220-3882
(971) 506-2547
(503) 766-3564
Mailing address
16838 SE ANKENY ST, PORTLAND, OR 97233-4283
(971) 506-2547
(503) 766-3564
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3957
OR
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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