Individual
MRS. JENNIFER PAULA ZACHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
107 SW 2ND ST, CORVALLIS, OR 97333-4715
(541) 363-3100
(866) 572-0412
Mailing address
107 SW 2ND ST, CORVALLIS, OR 97333-4715
(541) 363-3100
(866) 572-0412
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17019
OR
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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