Individual
ERIN NICOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2241 NW HOYT ST APT 108, PORTLAND, OR 97210-3789
(503) 887-9013
Mailing address
2241 NW HOYT ST APT 108, PORTLAND, OR 97210-3789
(503) 887-9013
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11693
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11693
MASSAGE LICENSE NUMBER
OR
Enumeration date
05/01/2013
Last updated
05/01/2013
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