Active NPIIndividual provider

Kyra Ahlstrom, LMT

Specialist in Portland, Oregon

NPI Number1649577073
Practice location
511 SW 10TH Ave, Suite 1108, Portland, OR 97205-2732
Fax
—
Last updated
February 21, 2011

Kyra Ahlstrom, LMT is a Specialist based in Portland, OR. Kyra Ahlstrom, LMT holds the professional credentials of LMT. The NPI number for Kyra Ahlstrom, LMT is 1649577073 and holds license No. 17384 (OR). The current practice location address is 511 SW 10TH Ave, Suite 1108, Portland, OR 97205-2732 and the office can be reached by phone at 503-224-6800. The NPI was assigned on February 21, 2011 and the record was last updated in NPPES on February 21, 2011.

●Provider Profile Details

NPI Number
1649577073
Provider Name
Kyra Ahlstrom
Credential
LMT
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Enumeration Date
February 21, 2011
Last Update Date
February 21, 2011
NPI Status
Active

◉Business Practice Location Address

Address
511 SW 10TH Ave
Suite 1108
Portland, OR 97205-2732
State
Oregon
ZIP
97205-2732
Country
US
Phone Number
503-224-6800

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✉Business Mailing Address

Address
6519 N Vancouver Ave
Apt. C
Portland, OR 97217-1954
City
Portland
State
OR
ZIP
97217-1954
Phone Number
505-660-9876

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Specialist174400000XYes17384OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Kyra Ahlstrom, LMT?

The NPI number of Kyra Ahlstrom, LMT is 1649577073. It was assigned on February 21, 2011 and is currently active in the NPPES registry.

What is the specialty of Kyra Ahlstrom, LMT?

Kyra Ahlstrom, LMT is registered under the primary taxonomy Specialist (code 174400000X) and holds license No. 17384 (OR).

Where does Kyra Ahlstrom, LMT practice?

The practice location is 511 SW 10TH Ave, Suite 1108, Portland, OR 97205-2732. The office can be reached at 503-224-6800 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649577073 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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