Individual
MS. KATHERINE ELBERTA GOODENOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT#12542
Contact information
Practice address
4176 UPPER DR, LAKE OSWEGO, OR 97035-4330
(503) 910-0424
Mailing address
4176 UPPER DR, LAKE OSWEGO, OR 97035-4330
(503) 910-0424
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12542
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12542
LMT
OR
Enumeration date
01/23/2012
Last updated
01/23/2012
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