Individual
KLARA LOUISE ECKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
25700 SW ARGYLE AVE, WILSONVILLE, OR 97070-5799
(503) 582-9805
Mailing address
25700 SW ARGYLE AVE, WILSONVILLE, OR 97070-5799
(503) 582-9805
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
16291
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16291
STATE LICENSE
OR
Enumeration date
06/05/2009
Last updated
06/05/2009
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