Individual
ALLYNE HYLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1515 NW 23RD AVE, PORTLAND, OR 97210-2617
(503) 719-4743
Mailing address
1515 NW 23RD AVE, PORTLAND, OR 97210-2617
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20116
OR
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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