Individual
MISS JAMIE LOUISE NOTEBOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8113 SE 13TH AVE, PORTLAND, OR 97202-6607
(503) 232-5653
Mailing address
8113 SE 13TH AVE, PORTLAND, OR 97202-6607
(503) 232-5653
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
8192
OR
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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