Individual
JORDAN CROWL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
407 NW 17TH AVE # 5, PORTLAND, OR 97209-2247
(601) 874-3658
Mailing address
916 NE TILLAMOOK ST, PORTLAND, OR 97212-4058
(260) 750-8399
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60974651
WA
Other
Enumeration date
12/01/2019
Last updated
06/12/2024
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