Individual
JORDYN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
711 NE IRVING AVE, BEND, OR 97701-4738
(541) 388-0496
Mailing address
19467 BAKER RD, BEND, OR 97702-7930
(541) 324-4087
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26818
OR
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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