Individual
MS. CARLEE A. KINNAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1135 SE SALMON ST, SUITE L3, PORTLAND, OR 97214-3375
(971) 319-5902
Mailing address
12580 SE 23RD AVE, MILWAUKIE, OR 97222-7918
(971) 344-5234
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17239
OR
Other
Enumeration date
04/03/2014
Last updated
09/24/2016
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