Individual
MR. JESSE DANIEL PIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1222 SE DIVISION ST, PORTLAND, OR 97202-1017
(971) 302-3474
Mailing address
5323 SE KNIGHT ST, PORTLAND, OR 97206-6017
(971) 302-3474
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26021
OR
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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