Individual
JASMINE JOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5695 HOOD ST, WEST LINN, OR 97068-3235
(503) 915-0191
Mailing address
5695 HOOD ST, WEST LINN, OR 97068-3235
(503) 915-0191
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13650
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13650
OREGON BOARD OF MASSAGE THERAPISTS
OR
Enumeration date
04/06/2018
Last updated
04/06/2018
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