Individual
MS. KAYLA SUNSHINE MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1417 N SHAVER ST, PORTLAND, OR 97227-1060
(503) 935-9200
Mailing address
1717 SW PARK AVE APT 103, PORTLAND, OR 97201-3233
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-24046
OR
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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