Individual
NICHOLAS P HUGHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8383 NE SANDY BLVD, SUITE 320DD, PORTLAND, OR 97220-4948
(503) 407-7352
Mailing address
16501 NE RUSSELL ST, APT. 201, PORTLAND, OR 97230-5956
(503) 407-7352
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16624
OR
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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