Individual
JENNIFER DYANN ZURITA-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6504 NE SISKIYOU ST, PORTLAND, OR 97217
(503) 327-3819
Mailing address
6504 NE SISKIYOU ST, PORTLAND, OR 97213-4572
(503) 327-3819
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24192
OR
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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