Individual
JESSICA NICOLE BRIANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3 MONROE PKWY STE U, LAKE OSWEGO, OR 97035-8875
(503) 387-3205
Mailing address
5005 SW MURRAY BLVD APT 420, BEAVERTON, OR 97005-3630
(971) 270-6505
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24049
OR
Other
Enumeration date
05/27/2018
Last updated
05/27/2018
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