Individual
JENNIFER LEIGH HERGET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8315 N DENVER AVE, PORTLAND, OR 97217-6707
(503) 828-7674
(503) 249-3779
Mailing address
8315 N DENVER AVE, PORTLAND, OR 97217-6707
(503) 828-7674
(503) 249-3779
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19085
OR
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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