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Anna Elizabeth Jackson, LMT

Massage Therapist in Tillamook, OR. Individual provider (NPI-1).

NPI number1114206232
StatusActive
Last updated in NPPESAug 7, 2011

Details

NPI
1114206232
Entity type
Individual (NPI-1)
Name
Anna Elizabeth Jackson
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 7, 2011
Last updated
Aug 7, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist18284ORYes

Practice location

309 Laurel Ave
Tillamook, OR 97141-2313

Phone 503-842-6532 · Fax 503-842-5191

Mailing address

309 Laurel Ave
Tillamook, OR 97141-2313

Phone 503-842-6532 · Fax 503-842-5191

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