Individual
DARRAGH E HILDRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6511 N INTERSTATE AVE, PORTLAND, OR 97217-4835
(503) 433-5702
Mailing address
6511 N INTERSTATE AVE, PORTLAND, OR 97217-4835
(503) 433-5702
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26428
OR
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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