Individual
MS. JESSIE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
5803 SE WOODSTOCK BLVD # 2, PORTLAND, OR 97206-6705
(971) 506-8213
Mailing address
5803 SE WOODSTOCK BLVD # 2, PORTLAND, OR 97206-6705
(971) 506-8213
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13636
OR
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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