Individual
NICOLE SCHWECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3 MONROE PKWY STE U, LAKE OSWEGO, OR 97035-8875
(503) 387-3205
Mailing address
47 EAGLE CREST DR UNIT 14, LAKE OSWEGO, OR 97035-1081
(714) 483-8745
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24308
OR
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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