Individual
JESSICA KREPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4317 NE TILLAMOOK ST, PORTLAND, OR 97213-1315
(503) 493-9730
Mailing address
1181 SE 85TH AVE, PORTLAND, OR 97216-1317
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23612
OR
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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