Individual
MRS. JESSICA JOY CLEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5210 SW CORBETT AVE., PORTLAND, OR 97239
(717) 261-6205
Mailing address
5210 SW CORBETT AVE., PORTLAND, OR 97239
(717) 261-6205
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
14510
OR
225700000X
Massage Therapist
Primary
7139
HI
Other
Enumeration date
06/11/2010
Last updated
09/06/2019
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