Individual
JEANENE TERESA WOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
29781 SW TOWN CENTER LOOP W STE 100, WILSONVILLE, OR 97070-8901
(503) 682-3811
Mailing address
4289 ALDERBROOK AVE SE, SALEM, OR 97302-3945
(503) 956-7823
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21338
OR
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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