Individual
MRS. JANTE MARIE MOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8600 N HAMLIN AVE, PORTLAND, OR 97217-7148
(971) 804-6343
Mailing address
8600 N HAMLIN AVE, PORTLAND, OR 97217-7148
(971) 804-6343
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12165
OR
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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