Individual
KATE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1106 PINE ST, SILVERTON, OR 97381-1323
(503) 873-5267
Mailing address
PO BOX 955, SILVERTON, OR 97381-0955
(503) 873-5267
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18202
OR
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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