Individual
MRS. HOLLY HALEY RUDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5225 SW 165TH AVE, BEAVERTON, OR 97007-2549
(971) 570-6398
(503) 591-1561
Mailing address
5225 SW 165TH AVE, BEAVERTON, OR 97007-2549
(971) 570-6398
(503) 591-1561
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13285
OR
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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