Individual
JACKIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2167 NW 185TH AVE, HILLSBORO, OR 97124-7074
(503) 828-1311
Mailing address
2167 NW 185TH AVE, HILLSBORO, OR 97124-7074
(503) 828-1311
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5688
OR
225700000X
Massage Therapist
5866
OR
Other
Enumeration date
11/16/2019
Last updated
11/16/2019
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