Individual
MS. KATHRYN ELIZABETH MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4605 NE FREMONT ST, SUITE #208, PORTLAND, OR 97213-1707
(503) 288-5957
Mailing address
4605 NE FREMONT ST, SUITE #208, PORTLAND, OR 97213-1707
(503) 288-5957
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
11692
OR
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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