Individual
JENNIFER TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1235 SE DIVISION ST, 301, PORTLAND, OR 97202-1099
(503) 875-2774
Mailing address
1235 SE DIVISION ST, 301, PORTLAND, OR 97202-1099
(503) 875-2774
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15694
OR
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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