Individual
MRS. JEANNE LYNN BRICKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2080 SE OAK GROVE BLVD, SUITE 13, MILWAUKIE, OR 97267-2657
(503) 803-3319
Mailing address
2080 SE OAK GROVE BLVD, SUITE 13, MILWAUKIE, OR 97267-2657
(503) 803-3319
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13240
OR
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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