Individual
CHERYL HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1748 NW FAIRVIEW DR, GRESHAM, OR 97030
(503) 492-3910
(503) 492-3910
Mailing address
1748 NW FAIRVIEW DR, GRESHAM, OR 97030
(503) 492-3910
(503) 674-6706
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21828
OR
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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