Individual
AMBER HIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
4805 SW OLESON RD, PORTLAND, OR 97225-1420
(503) 319-7258
Mailing address
17949 NW EVERGREEN PKWY, UNIT 100, BEAVERTON, OR 97006-7693
(503) 319-7258
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14056
OR
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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