Jefferson Alexander Webb, LMT

NPI #1982244117 in Tualatin, Oregon

Provider Information

NPI Number: 1982244117
Entity Type: Individual
Name: Jefferson Alexander Webb, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 15, 2020
Last Updated: Jan 15, 2020

Practice Location

Address: 18676 SW BOONES FERRY RD
City: Tualatin
State: Oregon
ZIP Code: 97062-8435
Phone: (971) 404-1736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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