Individual
MS. JEN KILLION JANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2802 SE ANKENY ST, PORTLAND, OR 97214-1820
(503) 990-9331
Mailing address
6147 SE STEPHENS ST, PORTLAND, OR 97215-3460
(503) 990-9331
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19093
OR
Other
Enumeration date
01/04/2019
Last updated
08/08/2019
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