Individual
MRS. KATHY KEYMOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
118 N KILLINGSWORTH ST, PORTLAND, OR 97217-2435
(503) 288-4454
(503) 288-1783
Mailing address
118 N KILLINGSWORTH ST, PORTLAND, OR 97217-2435
(503) 288-4454
(503) 288-1783
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26030
OR
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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