Individual
CYDNEY ELAINE HILDRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4060 SW 110TH AVE, BEAVERTON, OR 97005-3017
(503) 644-4846
Mailing address
4060 SW 110TH AVE, BEAVERTON, OR 97005-3017
(503) 644-4846
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5311
OR
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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