Olivia Wycoff

NPI 1124273297 - Massage Therapist - 225700000X

NPI Details
NPI 1124273297
Gender Female
Enumeration Date 11/17/2008
Last Updated 11/17/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4512 SE WOODSTOCK BLVD
PORTLAND OR, 97206-6274, US
Phone (503) 777-2776
Fax
Business Location
7025 NE 8TH AVE
PORTLAND OR, 97211-3523, US
Phone (920) 284-0293
Fax
Toxanomy
Taxonomy Code 225700000X
License State Oregon
License Number 15225
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According to our database, Olivia Wycoff NPI is 1124273297, taxonomy code is 225700000X and license number is 15225, license state is located at Oregon. Olivia Wycoff physically located at 4512 Se Woodstock Blvd, Portland OR, 97206-6274. NPI Number Olivia Wycoff has the Individual type.

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1124273297 NPI number is provided on an as is basis without warranty of any kind. 1124273297 is maintained by the National Plan & Provider Enumeration System. The contents of Olivia Wycoff are for informational purposes only.