Individual
JESSICA HALLINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
4512 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6274
(503) 777-2776
(503) 777-2116
Mailing address
4512 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6274
(503) 777-2776
(503) 777-2116
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7734
OR
Other
Enumeration date
07/30/2009
Last updated
10/24/2011
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