Individual
MRS. KATHERINE WING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15455 NW GREENBRIER PARKWAY, SUITE 250, BEAVERTON, OR 97006
(971) 248-0068
Mailing address
5802 SW REMINGTON DR., BEAVERTON, OR 97007
(503) 919-1547
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15190
OR
Other
Enumeration date
02/12/2015
Last updated
09/06/2022
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