Individual
JESSICA LYNN HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1661 EDGEWATER ST NW, SUITE 120, SALEM, OR 97304-4711
(503) 949-4053
(503) 339-2966
Mailing address
5290 BAXTER CT SE, SALEM, OR 97306-1538
(503) 949-4053
(503) 339-2966
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12640
OR
Other
Enumeration date
04/09/2007
Last updated
06/21/2013
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