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Contact Information

KENDRA L BOHM, LMT
15579 SW 76TH AVE
TIGARD, OR97224-7980
 Phone: 971-219-6427
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for KENDRA L BOHM · (Female)

NPI # 1013085927
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 11/30/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 10828
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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