Individual
JESSICA SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
833 SE MAIN ST, PORTLAND, OR 97214-3454
(503) 753-0826
Mailing address
6933 SE BARBARA WELCH RD, PORTLAND, OR 97236-4867
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023315
OR
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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