Individual
JERRIE LEE PARPART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3789 RIVER RD N, SUITE D, KEIZER, OR 97303-4825
(503) 856-9519
Mailing address
3789 RIVER RD N, SUITE D, KEIZER, OR 97303-4825
(503) 856-9519
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT#10580
OR
Other
Enumeration date
07/29/2007
Last updated
07/29/2007
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