Individual
KRISSY ASHLEY LINDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
510 SW 3RD AVE, SUITE 201, PORTLAND, OR 97204-2543
(503) 943-9331
Mailing address
2437 NE HOYT ST, #18, PORTLAND, OR 97232-2377
(541) 870-3488
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16154
OR
Other
Enumeration date
06/23/2009
Last updated
10/14/2009
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