Individual
JAMAICA DIANE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2024 SE CLINTON ST, PORTLAND, OR 97202-2245
(503) 238-6262
Mailing address
2024 SE CLINTON ST, PORTLAND, OR 97202-2245
(503) 238-6262
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9192
OR
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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