Most Relevant Information
Provider Data
| NPI Number: | 1003441957 |
| Provider Name: | KARA DEON |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 24575 |
Most Important Dates
| Enumeration Date: | 03/10/2020 |
| Last Updated: | 03/10/2020 |
Provider Practice Location
1611 NW LOVEJOY ST APT 10
PORTLAND
OR
972092345
Practice Location Phone/Fax
| Phone: | 4062080479 |
| Fax: |
Provider Mailing Location
1611 NW LOVEJOY ST APT 10
PORTLAND
OR
972092345
Provider Mailing Phone/Fax
| Phone: | 4062080479 |
| Fax: |