Kristen Detienne, LMT - Portland, OR

Kristen Detienne, LMT

Specialist in Portland, Oregon

NPI 1336474766

Kristen Detienne is a Specialist based in Portland, OR. Kristen Detienne practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Kristen Detienne is 1336474766 and holds a License No. 16383 (Oregon).

The current practice location address for Kristen Detienne is 9055 Sw Beaverton Hillsdale Hwy Ste A, Portland, OR and can be reached out via phone at 503-644-4664 and via fax at 503-644-9005.

Location: 9055 Sw Beaverton Hillsdale Hwy Ste A, Portland, OR, 97219-1953

NPI Number

1336474766

Provider Name

Kristen Detienne

Credential

LMT

Provider Entity Type

Individual

Gender

Female

Address

9055 Sw Beaverton Hillsdale Hwy Ste A, Portland, OR, 97219-1953

Phone Number

503-644-4664

Fax Number

503-644-9005

Provider Enumeration Date

10/02/2009

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
16383	01	OR	LICENSE

Address

9055 Sw Beaverton Hillsdale Hwy Ste A

City

Portland

State

Oregon

Zip

97225-2438

Phone Number

503-644-4664

Fax Number

503-644-9005

Address

9055 Sw Beaverton Hillsdale Hwy Ste A

City

Portland

State

Oregon

Zip

97225-2438

Phone Number

503-644-4664

Fax Number

503-644-9005

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

16383 (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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