Kevin Faris, LMT

NPI #1063884906 in Portland, Oregon

Provider Information

NPI Number: 1063884906
Entity Type: Individual
Name: Kevin Faris, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Oct 29, 2015
Last Updated: Oct 29, 2015

Practice Location

Address: 7201 NE GLISAN ST
Address 2: SUITE C
City: Portland
State: Oregon
ZIP Code: 97213-6369
Phone: (503) 544-0467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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