NPI 1114169901

Brenda Kay Killingsworth, LMT

Practitioner Specialist Tigard, OR

Practice location

Address: 14925 SW 133rd Ave, Tigard, OR 97224-1604
Phone: (503) 307-9894

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 15772 (OR)

Other Specialist providers in Oregon →

Registry record

NPI: 1114169901
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Mar 2009
Record last updated: 25 Mar 2009

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.