Individual
MS. JAYA CONSER LAPHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
107 SW 2ND ST, CORVALLIS, OR 97333-4715
(541) 363-3100
Mailing address
107 SW 2ND ST, CORVALLIS, OR 97333-4715
(541) 363-3100
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
WA
225700000X
Massage Therapist
Primary
5084
OR
376K00000X
Nurse's Aide
—
OR
376K00000X
Nurse's Aide
—
WA
Other
Enumeration date
06/25/2011
Last updated
06/25/2011
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