Individual
HOLLIE HEFFERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 NE 2ND ST, GRESHAM, OR 97030-7512
(503) 558-4977
(971) 253-4445
Mailing address
915 NE 2ND ST, GRESHAM, OR 97030-7512
(503) 558-4977
(971) 253-4445
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25231
OR
225700000X
Massage Therapist
61009426
WA
Other
Enumeration date
11/26/2019
Last updated
05/29/2024
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