Individual
JESSICA BABCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1416 SE 8TH AVE, PORTLAND, OR 97214-3537
(503) 314-9297
(971) 319-2195
Mailing address
522 NE THOMPSON ST, PORTLAND, OR 97212-3843
(971) 227-1713
(971) 319-2195
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23237
OR
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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