Individual
JANA LOSEY CRENSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2534 NW VAUGHN ST, PORTLAND, OR 97210-2552
(607) 654-9118
Mailing address
5119 NE 32ND AVE, PORTLAND, OR 97211-6939
(607) 654-9118
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17716
OR
Other
Enumeration date
11/27/2011
Last updated
11/27/2011
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