Individual
NICOLE E OAKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2207 NE BROADWAY ST, PORTLAND, OR 97232-1693
(503) 545-1348
Mailing address
2712 SE 48TH AVE, PORTLAND, OR 97206-1519
(503) 545-1348
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/20/2014
Last updated
05/29/2024
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