Individual
JAYCE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1129 SE 151ST AVE, PORTLAND, OR 97233-2922
(503) 890-9970
Mailing address
1129 SE 151ST AVE, PORTLAND, OR 97233-2922
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-25032
OR
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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