Individual
HEATHER DAWN OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14024 SE FAIROAKS WAY, MILWAUKIE, OR 97267-1016
(949) 395-9558
Mailing address
14024 SE FAIROAKS WAY, MILWAUKIE, OR 97267-1016
(949) 395-9558
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
5907
CA
225700000X
Massage Therapist
Primary
1117
OR
Other
Enumeration date
05/20/2007
Last updated
01/15/2011
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