Individual
KIRA RODENBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2100 SW CAMELOT CT, PORTLAND, OR 97225-3700
(503) 252-8125
(503) 256-8422
Mailing address
2100 SW CAMELOT CT, PORTLAND, OR 97225-3700
(503) 252-8125
(503) 256-8422
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10268
OR
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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