Jessie P Easton, LMT

NPI #1205174059 in Tualatin, Oregon

Provider Information

NPI Number: 1205174059
Entity Type: Individual
Name: Jessie P Easton, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 28, 2013
Last Updated: Jan 28, 2013

Practice Location

Address: 7052 SW NYBERG ST
City: Tualatin
State: Oregon
ZIP Code: 97062-9231
Phone: (503) 691-7788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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