Individual
ALEXANDRIA NICOLE JESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7325 SE 60TH AVE, PORTLAND, OR 97206-7567
(616) 828-3945
Mailing address
7325 SE 60TH AVE, PORTLAND, OR 97206-7567
(616) 828-3945
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25132
OR
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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