Individual
JESSICA SUZANNE PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
812 NW 12TH ST, PENDLETON, OR 97801
(541) 310-8572
Mailing address
812 NW 12TH ST, PENDLETON, OR 97801-1232
(541) 310-8572
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
20139
OR
225700000X
Massage Therapist
Primary
60540879
WA
Other
Enumeration date
06/22/2015
Last updated
09/01/2018
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