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Katharine Leilani Suppan, LMT
Massage Therapist in Newberg, Oregon
NPI 1871909325

Katharine Leilani Suppan is a Massage Therapist based in Newberg, OR. Katharine Leilani Suppan practices in Newberg, OR and has the professional credentials of LMT. The NPI Number for Katharine Leilani Suppan is 1871909325 and holds a License No. 16815 (Oregon).

The current practice location address for Katharine Leilani Suppan is 21440 Sw Wildflower Dr, Newberg, OR and can be reached out via phone at 971-533-3508.

Location: 21440 Sw Wildflower Dr, Newberg, OR, 97132-9401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871909325
Provider Name
Katharine Leilani Suppan
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
21440 Sw Wildflower Dr, Newberg, OR, 97132-9401
Phone Number
971-533-3508
Fax Number
Provider Enumeration Date
07/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21440 Sw Wildflower Dr
City
Newberg
State
Oregon
Zip
97132-9401
Phone Number
971-533-3508
Fax Number
person
Provider Business Mailing Address Details
Address
21440 Sw Wildflower Dr
City
Newberg
State
Oregon
Zip
97132-9401
Phone Number
971-533-3508
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
16815 (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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