Individual
CHARLOTTE ELISABETH KAHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6018 SE STARK ST, SUITE 103, PORTLAND, OR 97215-1990
(617) 259-7012
Mailing address
6018 SE STARK ST, SUITE 103, PORTLAND, OR 97215-1990
(617) 259-7012
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21444
OR
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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