Individual
JENNIFER SYLVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LMT
Contact information
Practice address
6118 SE BELMONT ST STE 402, PORTLAND, OR 97215-1983
(503) 724-1267
Mailing address
6815 SE CLATSOP ST, PORTLAND, OR 97206-8710
(503) 724-1267
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC217021
OR
225700000X
Massage Therapist
23033
OR
Other
Enumeration date
02/07/2017
Last updated
02/04/2024
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