Provider Demographics
NPI:1922266907
Name:HIGHTMAN, JULIE J (LMT, LAC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:J
Last Name:HIGHTMAN
Suffix:
Gender:F
Credentials:LMT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40171 SE KITZMILLER RD
Mailing Address - Street 2:
Mailing Address - City:EAGLE CREEK
Mailing Address - State:OR
Mailing Address - Zip Code:97022-8636
Mailing Address - Country:US
Mailing Address - Phone:503-936-0036
Mailing Address - Fax:
Practice Address - Street 1:39085 PIONEER BLVD
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:OR
Practice Address - Zip Code:97055-8062
Practice Address - Country:US
Practice Address - Phone:503-936-0036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2022-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR13100174400000X
OR164895171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No174400000XOther Service ProvidersSpecialist