Jessica Marie Dies, LMT

NPI #1104406735 in Beaverton, Oregon

Provider Information

NPI Number: 1104406735
Entity Type: Individual
Name: Jessica Marie Dies, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 8, 2021
Last Updated: Apr 8, 2021

Practice Location

Address: 3835 SW 185TH AVE STE 400
City: Beaverton
State: Oregon
ZIP Code: 97078-1553
Phone: (503) 626-2166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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