Kathleen Eleanor Strivens, MT
Individual provider Active NPI Reflexologist · Portland, OR
NPI 1275856007 · NPPES record last updated Mar 8, 2010
Key facts
- NPI
- 1275856007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Reflexologist 173C00000X
- License
- 4886 (OR)
- Practice address
- 4955 SW 76TH Ave
Portland, OR 97225-1844 - Phone
- (503) 260-0909
- NPI assigned
- Mar 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4886 | OR | MD | Reflexologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | 4886 | OR | Yes |
Addresses
Primary practice location
4955 SW 76TH Ave
Portland, OR 97225-1844
Mailing address
4955 SW 76TH Ave
Portland, OR 97225-1844
Phone (503) 260-0909
Other names
- Mrs. Kathy Eleanor Strivens
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.