Individual
KENNETH STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
819 SE MORRISON ST STE 115, PORTLAND, OR 97214-6308
(503) 956-9396
Mailing address
122 NE BEECH ST # A, PORTLAND, OR 97212-2004
(301) 335-9747
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26101
OR
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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