Jenae Michelle Summerour, LMT

NPI #1447500855 in Lake Oswego, Oregon

Provider Information

NPI Number: 1447500855
Entity Type: Individual
Name: Jenae Michelle Summerour, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Credential: LMT
Enumeration Date: Sep 12, 2012
Last Updated: Oct 12, 2021

Practice Location

Address: 4847 MEADOWS RD STE 153
City: Lake Oswego
State: Oregon
ZIP Code: 97035-2626
Phone: (971) 330-8578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Acupuncturist	171100000X	Primary

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