Individual
JESERAE BAISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7273 NE NELLY ST, HILLSBORO, OR 97124-9402
(979) 712-6371
Mailing address
7273 NE NELLY ST, HILLSBORO, OR 97124-9402
(979) 712-6371
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21498
OR
Other
Enumeration date
03/14/2026
Last updated
03/14/2026
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