Individual
NYLAH AUNDRANIQUE GOUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
811 E BURNSIDE ST STE 217, PORTLAND, OR 97214-1231
(503) 218-3815
Mailing address
1088 NE 7TH AVE APT 206, PORTLAND, OR 97232-3623
(501) 650-0677
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023354
OR
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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