Individual
MEGAN KALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
22124 NE GLISAN ST, GRESHAM, OR 97030-8553
(503) 618-0147
(503) 618-0148
Mailing address
22124 NE GLISAN ST, GRESHAM, OR 97030-8553
(503) 618-0147
(503) 618-0148
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21641
OR
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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