Individual
K'LYNN SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9430 SW CORAL ST, TIGARD, OR 97223-6691
(503) 644-1418
(503) 644-1422
Mailing address
9430 SW CORAL ST, TIGARD, OR 97223-6691
(503) 644-1418
(503) 644-1422
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12641
OR
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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