Individual
MS. KATHY PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9125 N JOHN AVE, PORTLAND, OR 97203-3047
(503) 970-8748
(503) 970-8748
Mailing address
9125 N JOHN AVE, PORTLAND, OR 97203-3047
(503) 970-8748
(503) 970-8748
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13993
OR
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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