Individual provider · Type 1 NPI

Kathleen Mary Judge, LMT

Specialist · Portland, OR

NPI number 1164587937 Active

Practice location

3241 NE Broadway St
Portland, OR 97232-1855

Call (503) 282-8582 Map

Fax (503) 460-0814

Mailing address

17 NE 62nd Ave
Portland, OR 97213-3835

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X4731 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1164587937

Kathleen Mary Judge, LMT's National Provider Identifier is 1164587937, issued on Dec 22, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.