Individual
BREANNE N HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
500 N COLUMBIA RIVER HWY STE 410, SAINT HELENS, OR 97051-1203
(503) 410-5623
(503) 410-5672
Mailing address
500 N COLUMBIA RIVER HWY STE 410, SAINT HELENS, OR 97051-1203
(503) 410-5623
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26829
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26829
LICENSED MASSAGE THERAPY BOARD
OR
Enumeration date
01/27/2022
Last updated
01/27/2022
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