Individual provider · Type 1 NPI

Kyra Ahlstrom, LMT

Specialist · Portland, OR

NPI number 1649577073 Active

Practice location

511 SW 10th Ave, Suite 1108
Portland, OR 97205-2732

Call (503) 224-6800 Map

Mailing address

6519 N Vancouver Ave, Apt. C
Portland, OR 97217-1954

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X17384 (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 1649577073

Kyra Ahlstrom, LMT's National Provider Identifier is 1649577073, issued on Feb 21, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Feb 21, 2011.