Individual
MISS JESSICA MARIE GREENLEAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
22000 WILLAMETTE DR, #107, WEST LINN, OR 97068-3275
(503) 722-8888
Mailing address
22000 WILLAMETTE DR, #107, WEST LINN, OR 97068-3275
(503) 722-8888
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17254
OR
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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