Individual
KATHLEEN ANN KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
1525 SW PARK AVE, SUITE 103, PORTLAND, OR 97201-7807
(503) 490-8904
Mailing address
1525 SW PARK AVE, SUITE 103, PORTLAND, OR 97201-7807
(503) 490-8904
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01138
OR
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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