Individual
JENNIFER CARIN HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13112 NE HALSEY ST, PORTLAND, OR 97230-2350
(503) 252-3952
Mailing address
13112 NE HALSEY ST, PORTLAND, OR 97230-2350
(503) 252-3952
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7364
OR
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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