Doctor Name: | KATHARINE STEVENS |
NPI Number: | 1811346356 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 21092 |
Business Practice Address: | 233 Se Washington St Suite 103 Hillsboro, OR - 971234023 |
Business Phone Number: | 5033529685 |
Business Fax Number: | |
Mailing Address: | 17150 Nw Lonerock Ln, BEAVERTON |
State: | OR |
Postal Code: | 970064734 |
Phone Number: | 5039703488 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2016 |
NPI Last Update Date: | 06/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 21092 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |