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Individual

MRS. KIRSTEN N GRACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
8755 SW CITIZENS DR STE 102, WILSONVILLE, OR 97070-8860
(503) 682-1110
Mailing address
8755 SW CITIZENS DR STE 102, WILSONVILLE, OR 97070-8860
(503) 682-1110

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
15495
OR

Other

Enumeration date
03/19/2009
Last updated
03/19/2009
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