Individual
GENEVIEVE DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
446 E MAIN ST STE A, HILLSBORO, OR 97123-4187
(503) 992-6371
Mailing address
446 E MAIN ST STE A, HILLSBORO, OR 97123-4187
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/05/2017
Last updated
01/29/2019
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