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Samuel Kibani
Massage Therapist in Lake Oswego, Oregon
NPI 1770164030

Samuel Kibani is a Massage Therapist based in Beaverton, OR. Samuel Kibani practices in Lake Oswego, OR. The NPI Number for Samuel Kibani is 1770164030 and holds a License No. 26152 (Oregon).

The current practice location address for Samuel Kibani is 3 Monroe Pkwy Ste U, Lake Oswego, OR and can be reached out via phone at 503-386-5311.

Location: 3 Monroe Pkwy Ste U, Lake Oswego, OR, 97003-4256
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770164030
Provider Name
Samuel Kibani
Credential
Provider Entity Type
Individual
Gender
Male
Address
3 Monroe Pkwy Ste U, Lake Oswego, OR, 97003-4256
Phone Number
503-386-5311
Fax Number
Provider Enumeration Date
04/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3 Monroe Pkwy Ste U
City
Lake Oswego
State
Oregon
Zip
97035-8875
Phone Number
503-386-5311
Fax Number
person
Provider Business Mailing Address Details
Address
3 Monroe Pkwy Ste U
City
Lake Oswego
State
Oregon
Zip
97035-8875
Phone Number
503-386-5311
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
26152 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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