Individual
KIDIST ADANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8375 SW BEAVERTON HILLSDALE HWY STE 100, PORTLAND, OR 97225-2252
(503) 469-9818
Mailing address
14650 NW CORNELL RD APT 6, PORTLAND, OR 97229-7425
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27389
OR
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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