Individual
ASHLEY HEIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
616 NW GARSWOOD TERRACE, BEAVERTON, OR 97006
(503) 547-9816
Mailing address
616 NW GARSWOOD TERRACE, BEAVERTON, OR 97006
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14973
OR
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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