Individual
LINDSAY JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15220 NW GREENBRIER PKWY STE 260, BEAVERTON, OR 97006
(503) 439-9494
Mailing address
18258 SE EMI ST, DAMASCUS, OR 97089-8824
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22517
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22517
LMT LICENSE
OR
Enumeration date
01/30/2017
Last updated
07/11/2019
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