Individual
NICOLE HAYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222
(971) 206-5202
Mailing address
3211 NE 38TH AVE, PORTLAND, OR 97212-2805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
12/06/2022
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