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Ms. Katherine Elberta Goodenough, LMT#12542
Massage Therapist in Lake Oswego, Oregon
NPI 1790056737

Katherine Elberta Goodenough is a Massage Therapist based in Lake Oswego, OR. Katherine Elberta Goodenough practices in Lake Oswego, OR and has the professional credentials of LMT#12542. The NPI Number for Katherine Elberta Goodenough is 1790056737 and holds a License No. 12542 (Oregon).

The current practice location address for Katherine Elberta Goodenough is 4176 Upper Dr, Lake Oswego, OR and can be reached out via phone at 503-910-0424.

Location: 4176 Upper Dr, Lake Oswego, OR, 97035-4330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790056737
Provider Name
Katherine Elberta Goodenough
Credential
LMT#12542
Provider Entity Type
Individual
Gender
Female
Address
4176 Upper Dr, Lake Oswego, OR, 97035-4330
Phone Number
503-910-0424
Fax Number
Provider Enumeration Date
01/23/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12542 01 OR LMT
institution
Provider Business Practice Location Address Details
Address
4176 Upper Dr
City
Lake Oswego
State
Oregon
Zip
97035-4330
Phone Number
503-910-0424
Fax Number
person
Provider Business Mailing Address Details
Address
4176 Upper Dr
City
Lake Oswego
State
Oregon
Zip
97035-4330
Phone Number
503-910-0424
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
12542 (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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