Individual
JESSICA D RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2403 SE MONROE ST STE B, MILWAUKIE, OR 97222-7646
(503) 303-4078
Mailing address
13450 NE SANDY BLVD APT X4, PORTLAND, OR 97230-0631
(503) 686-3859
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23780
OR
Other
Enumeration date
12/01/2017
Last updated
03/17/2018
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