Individual
MS. JESSICA L ULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1217 NE BURNSIDE RD, SUITE 301, GRESHAM, OR 97030-6722
(503) 492-2625
(503) 492-2355
Mailing address
1217 NE BURNSIDE RD, SUITE 301, GRESHAM, OR 97030-6722
(503) 492-2625
(503) 492-2355
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18838
OR
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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