Individual
MS. KATHERINE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4531 SE BELMONT ST STE 317, PORTLAND, OR 97215-1693
(973) 903-3478
Mailing address
202 SE 73RD AVE # A, PORTLAND, OR 97215-1441
(973) 903-3478
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26945
OR
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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