Organization
KATE GREEN, LMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE GREEN (OWNER)
(609) 828-1012
Entity
Organization
Contact information
Practice address
3605 SE 26TH AVE, PORTLAND, OR 97202-2953
(609) 828-1012
Mailing address
2247 SE BROOKLYN ST, PORTLAND, OR 97202-2133
(609) 828-1012
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20508
OR
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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