Kristine Marie Petrosyan, LMT

NPI #1083250591 in Tigard, Oregon

Provider Information

NPI Number: 1083250591
Entity Type: Individual
Name: Kristine Marie Petrosyan, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 19, 2019
Last Updated: Nov 19, 2019

Practice Location

Address: 11565 SW DURHAM RD STE 110
City: Tigard
State: Oregon
ZIP Code: 97224-3553
Phone: (503) 639-0778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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