Individual
JEFFERSON ALEXANDER WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
18676 SW BOONES FERRY RD, TUALATIN, OR 97062-8435
(971) 404-1736
Mailing address
9720 SW TUALATIN RD APT 8, TUALATIN, OR 97062-8429
(484) 226-5397
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25273
OR
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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