Individual
JEEVAN SINGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3533 SE MILWAUKIE AVE, PORTLAND, OR 97202-2750
(971) 303-9821
Mailing address
3533 SE MILWAUKIE AVE, PORTLAND, OR 97202-2750
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21370
OR
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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