Individual
NICOLE ALEXIS VAN HESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 SW ASHCREEK LN, MCMINNVILLE, OR 97128-8939
(971) 267-0501
Mailing address
1510 SW ASHCREEK LN, MCMINNVILLE, OR 97128-8939
(971) 267-0501
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
225700000X
Massage Therapist
11009
OR
Other
Enumeration date
05/22/2012
Last updated
03/17/2020
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