Individual
MS. JILL COURTNEY WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
51669 COLUMBIA RIVER HWY, STE. 130, SCAPPOOSE, OR 97056-4508
(503) 543-8605
(503) 210-8166
Mailing address
51669 COLUMBIA RIVER HWY, STE. 130, SCAPPOOSE, OR 97056-4508
(503) 543-8605
(503) 210-8166
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11046
OR
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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