Kathleen Mary Judge LMT

NPI 1164587937 - Specialist - 174400000X

NPI Details
NPI 1164587937
Gender Female
Enumeration Date 12/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
PORTLAND OR, 97232-1855, US
Phone (503) 282-8582
Fax (503) 460-0814
Business Location
17 NE 62ND AVE
PORTLAND OR, 97213-3835, US
Phone (503) 233-8457
Taxonomy Code 174400000X
License State Oregon
License Number 4731
Remove 1164587937 NPI Number

According to our database, Ms. Kathleen Mary Judge LMT NPI is 1164587937, taxonomy code is 174400000X and license number is 4731, license state is located at Oregon. Kathleen Mary Judge LMT physically located at 3241 Ne Broadway St, Portland OR, 97232-1855. NPI Number Kathleen Mary Judge LMT has the Individual type.

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1164587937 NPI number is provided on an as is basis without warranty of any kind. 1164587937 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Mary Judge LMT are for informational purposes only.