Individual
JESSICA LILIANA QUIROZ ZUNIGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
443 NE KNOTT ST, PORTLAND, OR 97212-3108
(503) 567-9950
Mailing address
443 NE KNOTT ST, PORTLAND, OR 97212-3108
(503) 567-9950
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75747
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26592
OREGON BOARD OF MASSAGE THERAPY
OR
01
—
75747
CALIFORNIA MASSAGE THERAPY COUNCIL
—
Enumeration date
07/06/2018
Last updated
11/14/2021
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