Individual
JOCELYN LINAO DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
722 HAWTHORNE AVE NE, SALEM, OR 97301-4674
(503) 385-3872
Mailing address
722 HAWTHORNE AVE NE, SALEM, OR 97301-4674
(503) 385-3872
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14600
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
520096000
REGENCE BCBSO
OR
Enumeration date
04/01/2009
Last updated
04/01/2009
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