Individual
KYA BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
510 SW 3RD AVE STE 201, PORTLAND, OR 97204-2507
(503) 943-9331
Mailing address
1405 SW PARK AVE APT 45, PORTLAND, OR 97201-3457
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
OR
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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