Individual
MISS LORETTA ANN HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2305 PACIFIC AVE STE A, FOREST GROVE, OR 97116-2877
(503) 357-3074
Mailing address
2305 PACIFIC AVE STE A, FOREST GROVE, OR 97116-2877
(503) 357-3074
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
3839
OR
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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