Organization
KATHLEEN KLINE, LMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN SUSAN KLINE LMT (OWNER)
(503) 545-0438
Entity
Organization
Contact information
Practice address
1217 NE BURNSIDE ROAD SUITE 701-D, GRESHAM, OR 97030
(503) 665-8959
(503) 667-3403
Mailing address
12506 SE LINCOLN CT, PORTLAND, OR 97233
(503) 545-0438
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22193
OR
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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