Individual
KIMBERLIN RUTH PALMER-NICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3303 SW BOND AVE FL CHH12, PORTLAND, OR 97239-4501
(503) 418-9656
Mailing address
3303 SW BOND AVE FL CHH12, PORTLAND, OR 97239-4501
(503) 418-9656
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-25235
OR
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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