Individual
NICKOLE TURNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2831 SE PALMQUIST RD #157, GRESHAM, OR 97080
(503) 490-5986
Mailing address
PO BOX 876, FAIRVIEW, OR 97024
(503) 490-5986
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18561
OR
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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