Kathleen King, LAC, PTA

NPI 1013192517 · on the registry since 2008 · sole proprietor

Practice

Address: 1111 Sw 10th Ave
Portland, OR 97205
Phone: (503) 294-7420
Fax: (503) 294-7411
Organisation at this address: Kathleen E King Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 171100000X
171100000X
Also registered as: 225200000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-09-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon