Individual
PATRICIA ROSEMARY KREIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2526 NE 15TH AVE, PORTLAND, OR 97212-4222
(503) 288-7668
Mailing address
2526 NE 15TH AVE, PORTLAND, OR 97212-4222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4142
OR
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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