Individual
MRS. JANINE VANESSA BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2143 NE BROADWAY, SUITE 107B, PORTLAND, OR 97232-1512
(503) 922-1341
Mailing address
2143 NE BROADWAY, SUITE 107B, PORTLAND, OR 97232-1512
(503) 922-1341
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16319
OR
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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