Individual
JENNIE DAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2305 SE WASHINGTON ST STE 105, MILWAUKIE, OR 97222-7647
(503) 901-6494
Mailing address
PO BOX 658, GLADSTONE, OR 97027-0658
(503) 901-6494
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
023438
OR
173C00000X
Reflexologist
75668
CA
225700000X
Massage Therapist
Primary
023438
OR
225700000X
Massage Therapist
75668
CA
Other
Enumeration date
06/17/2019
Last updated
09/04/2023
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