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General NPI Number Information
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NPI Number | 1164344800
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Entity Type | Organization
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Legal Business Name | KAIA STONE THERAPEUTICS LLC
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 1605 NE BROADWAY ST UNIT 1A
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City | PORTLAND
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State | OR
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Zip | 97232-1425
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Country | US
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Telephone | 503-278-5746
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Fax |
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Provider Business Mailing Address
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Address Line | 1605 NE BROADWAY ST UNIT 1A
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City | PORTLAND
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State | OR
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Zip | 97232-1425
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Country | US
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Telephone | 503-278-5746
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Fax |
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Authorized Official
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Title or Position | LICENSED MASSAGE THERAPIST
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Name | MS. KAIA STONE
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Credential | LMT
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Telephone | 303-842-4823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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