Individual
KATHARINE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 SW BARBUR BLVD, PORTLAND, OR 97219-5466
(503) 244-3420
Mailing address
9500 SW BARBUR BLVD, PORTLAND, OR 97219-5466
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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