NPI 1093931214

Sarah Marie Kittleson, LMT

Practitioner Mechanotherapist Portland, OR

Practice location

Address: 316 NE 28th Ave, Portland, OR 97232-3150
Phone: (503) 230-0812
Mailing address: 2308 SE 184th Ave, Portland, OR 97233-5622

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 9014 (OR)

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Registry record

NPI: 1093931214
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Apr 2007
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.