Individual
KIMBERLY MARIE SETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1934 NE BROADWAY ST, PORTLAND, OR 97232-1502
(503) 280-9759
Mailing address
1934 NE BROADWAY ST, PORTLAND, OR 97232-1502
(503) 280-9759
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19541
OR
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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