Individual
MS. AMY BETH JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
8265 SW SEMINOLE TRL, TUALATIN, OR 97062-8128
(503) 636-3703
Mailing address
8265 SW SEMINOLE TRL, TUALATIN, OR 97062-8128
(503) 636-3703
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9342
OR
Other
Enumeration date
03/20/2015
Last updated
04/26/2021
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