Individual
JESSICA TENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 MONROE PKWY, SUITE U, LAKE OSWEGO, OR 97035-1486
(503) 378-3205
Mailing address
8900 SW SWEEK DR APT 1723, TUALATIN, OR 97062-7530
(541) 285-8852
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19816
OR
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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