Individual
AYSHA HYLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12661 SE POWELL BLVD, SUITE B, PORTLAND, OR 97236-3400
(503) 801-8888
Mailing address
4636 N CONGRESS AVE, PORTLAND, OR 97217-3032
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18639
OR
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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