Individual
KATHERINE SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND, LAC, LMT
Contact information
Practice address
511 SW 10TH AVE STE 1107, PORTLAND, OR 97205-2712
(503) 894-8977
(833) 551-4832
Mailing address
5856 NE 30TH AVE, PORTLAND, OR 97211-6730
(415) 335-3862
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC190438
OR
175F00000X
Naturopath
Primary
4278
OR
225700000X
Massage Therapist
023619
OR
Other
Enumeration date
02/13/2019
Last updated
01/26/2020
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