Individual
MS. NANCIE MARIE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8413 SW 30TH AVE, PORTLAND, OR 97219-3948
(503) 867-2778
Mailing address
8413 SW 30TH AVE, PORTLAND, OR 97219-3948
(503) 867-2778
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18833
OR
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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