Individual
KATIE SELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2808 NE MARTIN LUTHER KING JR BLVD, SUITE C, PORTLAND, OR 97212-3060
(503) 473-8515
Mailing address
3443 SE GRANT CT, PORTLAND, OR 97214-5733
(608) 628-5452
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17343
OR
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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