Individual
NICOLE HEDLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2708 HILL ST SE, ALBANY, OR 97322-4269
(503) 891-1364
Mailing address
2708 HILL ST SE, ALBANY, OR 97322-4269
(503) 891-1364
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22159
OR
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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