Individual
KIMBERLY ROSE HIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1359 NE 35TH AVE, PORTLAND, OR 97232-1941
(503) 389-5545
Mailing address
13504 E BURNSIDE ST, PORTLAND, OR 97233-1830
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24391
OR
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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