Individual
JACQUELYN C PANNULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMT
Contact information
Practice address
420 INDUSTRIAL ST, HOOD RIVER, OR 97031-2236
(503) 756-6170
Mailing address
1802 PROSPECT AVE, HOOD RIVER, OR 97031-1365
(503) 756-6170
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16525
OR
Other
Enumeration date
11/03/2011
Last updated
01/15/2025
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