Individual
KARYN VERZWYVELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1536 NW 23RD AVE, PORTLAND, OR 97210-2618
(541) 610-8622
Mailing address
1536 NW 23RD AVE, PORTLAND, OR 97210-2618
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18858
OR
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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