Individual
MRS. JESSICA CABAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1304 NW CIVIC DR, GRESHAM, OR 97030-5569
(503) 512-1040
Mailing address
14351 SE SUMMERFIELD WAY, HAPPY VALLEY, OR 97086-5895
(503) 507-9430
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21750
OR
Other
Enumeration date
02/04/2016
Last updated
03/21/2016
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