Individual
JESSY LEE BRINLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
424 NE FRANKLIN AVE, BEND, OR 97701-4919
(541) 388-3588
Mailing address
424 NE FRANKLIN AVE, BEND, OR 97701-4919
(541) 388-3588
(541) 388-0839
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20343
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20343
LICENSE NUMBER
OR
01
—
20343
LICENSE NUMBER
—
Enumeration date
02/14/2019
Last updated
10/24/2024
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