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Individual

MRS. HYLA LEANN DICKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
8933 N LOMBARD ST, PORTLAND, OR 97203-3003
(503) 286-4400
Mailing address
9239 N SAINT JOHNS AVE, PORTLAND, OR 97203-1566
(503) 309-2191

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10476
OR

Other

Enumeration date
03/29/2007
Last updated
07/08/2007
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