Individual
MRS. ALLISON CYNTHIA JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1470 NE 1ST ST, SUITE 200, BEND, OR 97701-4265
(541) 330-4797
Mailing address
61494 SW LONGVIEW ST, BEND, OR 97702-1976
(541) 383-0556
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13400
OR
Other
Enumeration date
03/04/2007
Last updated
07/08/2007
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