Individual
KEVIN J SPANGENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2520 KINGSLEY RD, HOOD RIVER, OR 97031-9605
(714) 335-6919
Mailing address
1767 12TH ST # 275, HOOD RIVER, OR 97031-9531
(714) 335-6919
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26417
OR
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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