Individual
NANCI J DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10600 SE MCLOUGHLIN BLVD, #102, MILWAUKIE, OR 97222-7428
(503) 799-7438
Mailing address
11803 MAHOGANY CT, OREGON CITY, OR 97045-6994
(503) 650-2903
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11469
OR
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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