Organization
JILL L.NAVE, LMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL LOUISE NAVE LMT (LEAD MASSAGE THERAPIST)
(503) 515-1346
Entity
Organization
Contact information
Practice address
12005 SW 70TH AVE, TIGARD, OR 97223-9634
(503) 515-1346
Mailing address
15653 SW 87TH AVE, TIGARD, OR 97224-5412
(503) 515-1346
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5153
OR
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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