Individual
LINDA NIKOL DUDINSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
215 NE 156TH AVE, PORTLAND, OR 97230-4816
(818) 297-0518
Mailing address
215 NE 156TH AVE, PORTLAND, OR 97230-4816
(818) 297-0518
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26602
OR
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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