Individual
JUSTINE COEL DOLLARHIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4927 NE 30TH AVE, PORTLAND, OR 97211-7007
(503) 281-0681
Mailing address
4927 NE 30TH AVE, PORTLAND, OR 97211-7007
(503) 281-0681
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27424
OR
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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