Individual
JENNIFER CRISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14619 SW TEAL BLVD, BEAVERTON, OR 97007-6194
(503) 746-6583
Mailing address
224 W 2ND PLACE CIR, LAFAYETTE, OR 97127-9170
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20109
OR
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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