Individual
NICOLE GILCHRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
37067 S WILHOIT RD, MOLALLA, OR 97038-9742
(808) 499-9360
Mailing address
37067 S WILHOIT RD, MOLALLA, OR 97038-9742
(808) 499-9360
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19904
OR
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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