Individual
JESSICA WICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT 27215
Contact information
Practice address
3120 SE 50TH AVE, PORTLAND, OR 97206-2247
(971) 701-1159
Mailing address
4975 SE DIVISION ST APT 405, PORTLAND, OR 97206-1573
(971) 701-1159
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27215
OR
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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