MS. Kathleen Elizabeth King, LAC, PTA

NPI #1013192517 in Portland, Oregon

Provider Information

NPI Number: 1013192517
Entity Type: Individual
Name: MS. Kathleen Elizabeth King, LAC, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC, PTA
Enumeration Date: Jan 2, 2008
Last Updated: Sep 24, 2008

Practice Location

Address: 1111 SW 10TH AVE
City: Portland
State: Oregon
ZIP Code: 97205-2411
Phone: (503) 294-7420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X
Acupuncturist	171100000X	Primary

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