Individual
CAITLIN GORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
902 NE 65TH ST, SEATTLE, WA 98115-5562
(206) 267-0863
Mailing address
14027 LAKE CITY WAY NE, APT E412, SEATTLE, WA 98125
(360) 296-5500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60529303
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-0595634
DREAM CLINIC
WA
Enumeration date
03/05/2015
Last updated
03/05/2015
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