Individual
ANNA ELIZABETH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
309 LAUREL AVE, TILLAMOOK, OR 97141-2313
(503) 842-6532
(503) 842-5191
Mailing address
309 LAUREL AVE, TILLAMOOK, OR 97141-2313
(503) 842-6532
(503) 842-5191
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18284
OR
Other
Enumeration date
08/07/2011
Last updated
08/07/2011
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