Individual
JENNIFER GOODWINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
727 MEDFORD CTR, MEDFORD, OR 97504-6772
(541) 261-3384
Mailing address
1986 SKYPARK DR APT D, MEDFORD, OR 97504-5759
(541) 261-3384
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13242
OR
Other
Enumeration date
06/21/2016
Last updated
07/13/2025
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