Individual
KENDALL MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1626 NE ALBERTA ST, PORTLAND, OR 97211-5048
(503) 287-1444
Mailing address
8029 SE HENRY ST, PORTLAND, OR 97206-6334
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26900
OR
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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