Individual
CHRISTINE NICHOLAS-JENANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1733 E POWELL BLVD STE 102, GRESHAM, OR 97030-8013
(503) 740-6343
Mailing address
7715 SW BONITA RD APT 35, PORTLAND, OR 97224-8136
(415) 595-4997
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1062391
OR
225700000X
Massage Therapist
Primary
29341
OR
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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