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Individual

MARCIE LYNN SIMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
14911 SE MAIN ST UNIT B, PORTLAND, OR 97233-2903
(331) 442-1882
Mailing address
14911 SE MAIN ST, PORTLAND, OR 97233-2903
(331) 442-1882

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18657
OR

Other

Enumeration date
04/05/2012
Last updated
02/24/2025
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