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Organization
WEST PORTLAND THERAPEUTIC MASSAGE LLC
Active
Organization
WEST PORTLAND THERAPEUTIC MASSAGE LLC
Active
Other names
West Portland Therapeutic Massage, West PDX Massage
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LYNN JOHN LMT (OWNER)
(503) 320-6305
Entity
Organization
Contact information
Practice address
9045 SW BARBUR BLVD STE 109, PORTLAND, OR 97219-4027
(503) 662-8098
Mailing address
7720 S MACADAM AVE APT 10, PORTLAND, OR 97219-3000
(503) 320-6305
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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