Heather Ann Jackson

NPI #1790276921 in Sherwood, Oregon

Provider Information

NPI Number: 1790276921
Entity Type: Individual
Name: Heather Ann Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: May 23, 2018
Last Updated: May 23, 2018

Practice Location

Address: 21370 SW LANGER FARMS PKWY STE 138
City: Sherwood
State: Oregon
ZIP Code: 97140-9140
Phone: (503) 625-6247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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