SearchOregonSpecialist

Kristen Detienne, LMT

NPI 1336474766 · on the registry since 2009 · sole proprietor

Practice

Address
9055 Sw Beaverton Hillsdale Hwy Ste A
Portland, OR 97225
Phone
(503) 644-4664
Fax
(503) 644-9005
Clinicians at this address
8

Registry record

Primary taxonomy
Specialist
174400000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-10-02

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