NPI 1013085927

Kendra Lee Bohm, LMT

Practitioner Specialist Tigard, OR

Practice location

Address: 15579 SW 76th Ave, Tigard, OR 97224-7980
Phone: (971) 219-6427

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 10828 (OR)

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Registry record

NPI: 1013085927
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.