MS. Jessica Irene Scovell, LMT

NPI #1790091130 in Dallas, Oregon

Provider Information

NPI Number: 1790091130
Entity Type: Individual
Name: MS. Jessica Irene Scovell, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Aug 23, 2010
Last Updated: Aug 23, 2010

Practice Location

Address: 289 E ELLENDALE AVE STE 102
City: Dallas
State: Oregon
ZIP Code: 97338-1500
Phone: (503) 623-5505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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