Individual
JESSICA ALICE DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2305 SE 50TH AVE STE 200, PORTLAND, OR 97215-3853
(971) 407-3428
(971) 407-3428
Mailing address
6428 NE PACIFIC ST, PORTLAND, OR 97213-4930
(786) 521-1250
(971) 703-4735
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23742
OR
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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