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Brenda Kay Killingsworth, LMT
Specialist in Tigard, Oregon
NPI 1114169901

Brenda Kay Killingsworth is a Specialist based in Tigard, OR. Brenda Kay Killingsworth practices in Tigard, OR and has the professional credentials of LMT. The NPI Number for Brenda Kay Killingsworth is 1114169901 and holds a License No. 15772 (Oregon).

The current practice location address for Brenda Kay Killingsworth is 14925 Sw 133Rd Ave, Tigard, OR and can be reached out via phone at 503-307-9894.

Location: 14925 Sw 133Rd Ave, Tigard, OR, 97224-1604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114169901
Provider Name
Brenda Kay Killingsworth
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
14925 Sw 133Rd Ave, Tigard, OR, 97224-1604
Phone Number
503-307-9894
Fax Number
Provider Enumeration Date
03/25/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15772 01 OR OREGON MASSAGE BOARD
institution
Provider Business Practice Location Address Details
Address
14925 Sw 133Rd Ave
City
Tigard
State
Oregon
Zip
97224-1604
Phone Number
503-307-9894
Fax Number
person
Provider Business Mailing Address Details
Address
14925 Sw 133Rd Ave
City
Tigard
State
Oregon
Zip
97224-1604
Phone Number
503-307-9894
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
15772 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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