Individual
JASMINE BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2520 SW BEAVERTON HILLSDALE HWY APT D, PORTLAND, OR 97239-1171
(503) 867-6838
Mailing address
2520 SW BEAVERTON HILLSDALE HWY APT D, PORTLAND, OR 97239-1171
(503) 867-6838
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19707
OR
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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