Provider Demographics
NPI:1114211851
Name:SINGLEY, KARIN LYNN (LMT)
Entity type:Individual
Prefix:MS
First Name:KARIN
Middle Name:LYNN
Last Name:SINGLEY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12655 SW 131ST AVE
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-4731
Mailing Address - Country:US
Mailing Address - Phone:503-740-5833
Mailing Address - Fax:503-590-7545
Practice Address - Street 1:12655 SW 131ST AVE
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-4731
Practice Address - Country:US
Practice Address - Phone:503-740-5833
Practice Address - Fax:503-590-7545
Is Sole Proprietor?:No
Enumeration Date:2011-05-28
Last Update Date:2011-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR11712225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist