Individual
JESSE BRANDON FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2167 NW 185TH AVE, HILLSBORO, OR 97124-7074
(503) 828-1311
Mailing address
15563 SW DONNA CT, BEAVERTON, OR 97078-2678
(775) 750-1080
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24783
OR
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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