Individual
MS. JAYME BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT #10867
Contact information
Practice address
3810 SE BELMONT ST, PORTLAND, OR 97214-4330
(971) 645-3833
Mailing address
3810 SE BELMONT ST, PORTLAND, OR 97214-4330
(971) 645-3833
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10867
OR
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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