Individual
KYLE CRANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
5331 SW MACADAM AVE STE 307, PORTLAND, OR 97239-3859
(503) 545-2536
Mailing address
22143 HORIZON DR, WEST LINN, OR 97068-8253
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7260
OR
Other
Enumeration date
09/21/2011
Last updated
05/27/2014
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