Individual
ASHLEY WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2912 SE 141ST AVE, PORTLAND, OR 97236-2604
(971) 322-5926
Mailing address
2912 SE 141ST AVE, PORTLAND, OR 97236-2604
(971) 322-5926
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25439
OR
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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