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Individual

NICHOLAS RYAN PERKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
233 SE WASHINGTON STREET, SUITE 103, HILLSBORO, OR 97123
(503) 352-9685
Mailing address
6810 SE MITCHELL CT., PORTLAND, OR 97206
(541) 380-0464

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18419
OR

Other

Enumeration date
10/17/2012
Last updated
10/17/2012
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