Individual
JIELIAN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3805 SW HALL BLVD, BEAVERTON, OR 97005-2049
(503) 526-9285
Mailing address
3805 SW HALL BLVD, BEAVERTON, OR 97005-2049
(503) 526-9285
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023274
OR
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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