Individual
HAYLEY SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1135 SE SALMON ST STE 108, PORTLAND, OR 97214-2695
(949) 637-7468
Mailing address
6618 SE MITCHELL CT, PORTLAND, OR 97206-5332
(949) 637-7468
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC196866
OR
225700000X
Massage Therapist
21636
OR
Other
Enumeration date
04/01/2016
Last updated
09/22/2021
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