Individual
JOCELYNN SUNRISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
510 SW 3RD AVE STE 210, PORTLAND, OR 97204-2507
(503) 224-5010
Mailing address
1631 NE BROADWAY ST # 315, PORTLAND, OR 97232-1425
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023481
OR
Other
Enumeration date
10/23/2017
Last updated
03/17/2018
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