Individual
JENNIFER MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4437 SE CESAR E CHAVEZ BLVD, SUITE C, PORTLAND, OR 97202-3581
(503) 774-3585
(503) 774-3602
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18228
OR
Other
Enumeration date
06/24/2011
Last updated
11/12/2012
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