Individual
MS. JESSICA JAYNE SLAVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1990 SE LADD AVE, PORTLAND, OR 97214-4757
(503) 820-8040
Mailing address
1990 SE LADD AVE, PORTLAND, OR 97214-4757
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8332
OR
Other
Enumeration date
01/16/2018
Last updated
03/17/2018
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