Individual
KATHRYN BREUNIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5441 SW MACADAM AVE STE 200, PORTLAND, OR 97239-3822
(503) 841-6222
Mailing address
3128 SE 45TH AVE, PORTLAND, OR 97206-2205
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21240
OR
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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