Individual provider · Type 1 NPI

Kiesa Rene Carbin

Massage Therapist · Portland, OR

NPI number 1396419735 Active

Practice location

1413 SE Hawthorne Blvd
Portland, OR 97214-3640

Call (503) 841-6060 Map

Mailing address

1550 SE Lava Dr Apt 17
Milwaukie, OR 97222-3401

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X25668 (OR)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1396419735

Kiesa Rene Carbin's National Provider Identifier is 1396419735, issued on Aug 8, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Aug 8, 2021.