Individual
MS. JENESSA MANION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T. , C.A.
Contact information
Practice address
4224 NE HALSEY ST, SUITE #325, PORTLAND, OR 97213-1538
(503) 505-6181
Mailing address
4224 NE HALSEY ST, SUITE #325, PORTLAND, OR 97213-1538
(503) 505-6181
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18381
OR
Other
Enumeration date
07/07/2012
Last updated
07/07/2012
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