Individual
MR. KEVIN JOSHUA LACHAPELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
107 SE WASHINGTON ST STE 134, SUITE 134, PORTLAND, OR 97214-2151
(503) 236-6633
Mailing address
1644 SE 40TH AVE, PORTLAND, OR 97214-5222
(503) 201-0441
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
14055
OR
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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