Individual
JESS NOEL PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8202 NE GOING ST, PORTLAND, OR 97220-4860
(971) 344-6349
Mailing address
8202 NE GOING ST, PORTLAND, OR 97220-4860
(971) 344-6349
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28092
OR
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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