Individual
JADE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9895 SW SUNNYSIDE RD, CLACKAMAS, OR 97015
(503) 653-0400
(503) 653-5146
Mailing address
9895 SW SUNNYSIDE RD, CLACKAMAS, OR 97015
(503) 653-0400
(503) 653-5146
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14769
OR
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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