Individual
AMY K KARECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4627 NE 39TH AVE, PORTLAND, OR 97211-8126
(503) 989-1222
Mailing address
4627 NE 39TH AVE, PORTLAND, OR 97211-8126
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3757
OR
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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