Individual
MIRIAM R JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
45 82ND DR STE 45, GLADSTONE, OR 97027-2562
(503) 577-7388
Mailing address
1716 SE 92ND AVE, PORTLAND, OR 97216-1931
(503) 577-7127
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17680
OR
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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