Individual
KIMBERLY LAMBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85803 EDENVALE RD, PLEASANT HILL, OR 97455-9748
(541) 954-4696
Mailing address
85803 EDENVALE RD, PLEASANT HILL, OR 97455-9748
(541) 954-4696
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20773
OR
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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