Nicholas P Hughley, LMT
Massage Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1043554637
StatusActive
Last updated in NPPESNov 20, 2012
Details
- NPI
- 1043554637
- Entity type
- Individual (NPI-1)
- Name
- Nicholas P Hughley
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2012
- Last updated
- Nov 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 16624 | OR | Yes |
Practice location
8383 Ne Sandy BlvdSuite 320dd
Portland, OR 97220-4948
Phone 503-407-7352
Mailing address
16501 Ne Russell StApt. 201
Portland, OR 97230-5956
Phone 503-407-7352
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