Individual
JESSICA TOMMERUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9895 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-5740
(503) 653-0400
Mailing address
9895 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-5740
(503) 653-0400
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16875
OR
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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