Individual
JASMINE R CRAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1230 MARINE DR STE 305, ASTORIA, OR 97103-4061
(503) 468-8703
Mailing address
PO BOX 762, WARRENTON, OR 97146-0762
(503) 468-8703
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16697
OR
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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