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Individual

JESSICA LYN COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
511 SW 10TH AVE, SUITE 610, PORTLAND, OR 97205-2732
(503) 756-2743
Mailing address
5224 SW ORCHID ST, PORTLAND, OR 97219-5035
(971) 400-2282

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23034
OR

Other

Enumeration date
03/02/2017
Last updated
03/02/2017
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