Jaclyn Light

NPI #1760937114 in Hubbard, Oregon

Provider Information

NPI Number: 1760937114
Entity Type: Individual
Name: Jaclyn Light
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Aug 15, 2016
Last Updated: Aug 15, 2016

Practice Location

Address: 3694 PACIFIC HWY
City: Hubbard
State: Oregon
ZIP Code: 97032-9302
Phone: (503) 980-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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