MS. Jacki Gethner, LMT CADC1

NPI #1629276928 in Tigard, Oregon

Provider Information

NPI Number: 1629276928
Entity Type: Individual
Name: MS. Jacki Gethner, LMT CADC1
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: LMT CADC1
Enumeration Date: Jul 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 10900 SW NORTH DAKOTA ST
City: Tigard
State: Oregon
ZIP Code: 97223-4121
Phone: (503) 790-0974

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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