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1962017459
KAITLYN DOUGLAS
PORTLAND, OR
NPI
1962017459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 25073)
Enumeration Date
2020-09-10
Last Update Date
2020-09-10
Business Address
KAITLYN DOUGLAS LMT
7817 SE STARK ST
PORTLAND, OR 97215-2339
Phone number: 503-975-5298
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Mailing Address
KAITLYN DOUGLAS LMT
3246 NE 49TH AVE
PORTLAND, OR 97213-1849
Phone number: 971-270-6064
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