Individual
KATHRYN A HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12021 NE GLENN WIDING DR, PORTLAND, OR 97220-9050
(612) 964-0060
Mailing address
12021 NE GLENN WIDING DR, PORTLAND, OR 97220-9050
(612) 964-0060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7535
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199G9MI
BCBS
MN
01
—
6405677
MEDICA
—
01
—
HP49900
HEALTH PARTNERS
—
Enumeration date
05/23/2006
Last updated
06/08/2015
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