Individual
MS. NICOLE ANNE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
118 N KILLINGSWORTH ST, PORTLAND, OR 97217-2435
(503) 288-4454
Mailing address
118 N KILLINGSWORTH ST, PORTLAND, OR 97217-2435
(503) 288-4454
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14607
OR
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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