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Individual

MR. KELBY CASALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
1525 NE FREMONT ST, PORTLAND, OR 97212-2374
(775) 625-0472
Mailing address
1525 NE FREMONT ST, PORTLAND, OR 97212-2374
(775) 625-0472

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21027
OR

Other

Enumeration date
02/10/2015
Last updated
02/10/2015
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