Individual
JANE ELIZABETH GRAYBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 NE RUSSELL ST STE 200, PORTLAND, OR 97212-3762
(503) 289-1390
Mailing address
1101 N TERRY ST, PORTLAND, OR 97217-1131
(503) 806-1546
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7748
OR
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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