Individual
MRS. NICOLE RAE SIME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2304 E BURNSIDE ST, SUITE #1, PORTLAND, OR 97214
(503) 239-7339
Mailing address
2304 E BURNSIDE ST, SUITE #1, PORTLAND, OR 97214
(503) 239-7339
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7825
OR
Other
Enumeration date
11/28/2006
Last updated
10/26/2011
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