Individual
JULIE LYNNE NESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 SE HARRISON ST, MILWAUKIE, OR 97222-5859
(503) 653-2232
Mailing address
4141 SE HARRISON ST, MILWAUKIE, OR 97222-5859
(503) 653-2232
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15109
OR
Other
Enumeration date
01/19/2009
Last updated
01/19/2009
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