KRISTEN DETIENNE, LMT

Specialist

Active Individual
NPI: 1336474766

Practice Address

9055 SW BEAVERTON HILLSDALE HWY STE A
Portland, OR 97225

Phone: (503) 644-4664

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 16383 (OR)

Frequently Asked Questions

NPI 1336474766 is the National Provider Identifier for KRISTEN DETIENNE, LMT, a Specialist provider located in Portland, OR. This NPI was enumerated on October 2, 2009.
KRISTEN DETIENNE, LMT practices at 9055 SW BEAVERTON HILLSDALE HWY STE A, Portland, OR 97225.

Quick Facts

NPI
1336474766
Type
Individual
Enumerated
Oct 2, 2009
Last Updated
Oct 2, 2009

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