Jessica R Nethercote, LMT SPECIALIST

NPI #1073093134 in Portland, Oregon

Provider Information

NPI Number: 1073093134
Entity Type: Individual
Name: Jessica R Nethercote, LMT SPECIALIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: LMT SPECIALIST
Enumeration Date: Aug 17, 2018
Last Updated: Aug 17, 2018

Practice Location

Address: 3303 SW BOND AVE
City: Portland
State: Oregon
ZIP Code: 97239-4501
Phone: (503) 494-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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