Jessica Rose Vaughan

NPI #1245828201 in Coburg, Oregon

Provider Information

NPI Number: 1245828201
Entity Type: Individual
Name: Jessica Rose Vaughan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jan 5, 2021
Last Updated: Jan 5, 2021

Practice Location

Address: 90971 S WILLAMETTE ST
City: Coburg
State: Oregon
ZIP Code: 97408-9206
Phone: (833) 628-5433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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