Individual
JAIME MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT,CA
Contact information
Practice address
11804 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9308
(503) 454-0782
Mailing address
11804 SE SUNNYSIDE ROAD, CLACKAMAS, OR 97015
(503) 454-0782
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6622
OR
225700000X
Massage Therapist
Primary
19856
OR
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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