Organization
ALL MANUAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHINNEAKA KAUFMANN LMT (OFFICE DIRECTOR / MASSAGE THERAPIST)
(503) 440-0942
Entity
Organization
Contact information
Practice address
24076 SE STARK ST STE 310, GRESHAM, OR 97030-3386
(503) 440-0942
Mailing address
2710 NE 23RD ST, GRESHAM, OR 97030-3143
(503) 440-0942
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/31/2024
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