Individual
KATHRYN AILEEN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2122 NW QUIMBY ST, PORTLAND, OR 97210-2622
(503) 292-7668
Mailing address
20 NW 16TH AVE APT 116, PORTLAND, OR 97209-2600
(920) 750-0887
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22117
OR
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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