Individual
MRS. KIMBERLY RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
131 NE HIGHWAY 99W, MCMINNVILLE, OR 97128
(971) 241-8103
Mailing address
131 NE HIGHWAY 99W, MCMINNVILLE, OR 97128
(971) 241-8103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21215
OR
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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