Individual
JENNA LYNN BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
3305 SE SELLWOOD ST, MILWAUKIE, OR 97222-6743
(714) 654-3650
Mailing address
3305 SE SELLWOOD ST, MILWAUKIE, OR 97222-6743
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21970
OR
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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