Individual
JESSICA MARIE BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T, C.C.A
Contact information
Practice address
2399 12TH ST SE, SALEM, OR 97302-2149
(503) 365-8399
Mailing address
1826 32ND PL NE, SALEM, OR 97301-8768
(503) 689-7289
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20228
OR
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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