Individual
KIMBERLY ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
425 SE 3RD AVE STE 209, PORTLAND, OR 97214-1039
(503) 367-0264
Mailing address
1410 NW KEARNEY ST APT 918, PORTLAND, OR 97209-2769
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25184
OR
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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