Jennifer Marie Boom, LMT

NPI #1164547634 in Gresham, Oregon

Provider Information

NPI Number
1164547634
Entity Type
Individual
Name
Jennifer Marie Boom, LMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Mar 21, 2007
Last Updated
Nov 9, 2016

Practice Location

Address
24850 SE STARK ST
Address 2
SUITE 200
State
Oregon
ZIP Code
97030-8316
Phone
(503) 310-2622

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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