Individual
JACLYN SORBETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3838 PACIFIC AVE, FOREST GROVE, OR 97116-2224
(503) 357-1706
Mailing address
97 KINGSGATE RD APT K32, LAKE OSWEGO, OR 97035-2376
(503) 481-9862
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/03/2020
Last updated
10/03/2020
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