Individual
JENNIFER LEE FICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
436 SE 12TH AVE, PORTLAND, OR 97214-1323
(503) 752-8340
Mailing address
4304 SE 57TH AVE, PORTLAND, OR 97206-3838
(503) 752-8340
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
942311
OR
Other
Enumeration date
12/14/2010
Last updated
04/09/2012
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