Individual
KACIE ANN-LOUISE BRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
5517 N COMMERCIAL AVE, PORTLAND, OR 97217-2339
(541) 292-3757
(503) 223-1188
Mailing address
11918 SE DIVISION ST # 291, PORTLAND, OR 97266-1037
(541) 292-3757
(503) 223-1188
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13739
OR
Other
Enumeration date
04/18/2007
Last updated
03/22/2013
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