Kathleen Warner Mcdonald MA, LMT

NPI 1790093433 - Massage Therapist - 225700000X

NPI Details
NPI 1790093433
Gender Female
Enumeration Date 09/15/2010
Last Updated 09/16/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2400 SW VERMONT ST
PORTLAND OR, 97219-1940, US
Phone (503) 452-0915
Fax
Business Location
9265 SW 8TH DR
PORTLAND OR, 97219-4753, US
Phone (503) 869-8429
Fax
Toxanomy
Taxonomy Code 225700000X
License State Oregon
License Number 1781
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According to our database, Kathleen Warner Mcdonald MA, LMT NPI is 1790093433, taxonomy code is 225700000X and license number is 1781, license state is located at Oregon. Kathleen Warner Mcdonald MA, LMT physically located at 2400 Sw Vermont St, Portland OR, 97219-1940. NPI Number Kathleen Warner Mcdonald MA, LMT has the Individual type.

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1790093433 NPI number is provided on an as is basis without warranty of any kind. 1790093433 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Warner Mcdonald MA, LMT are for informational purposes only.