Individual provider · Type 1 NPI

Jessica R. Nethercote, LMT SPECIALIST

Specialist · Portland, OR

NPI number 1073093134 Active

Practice location

3303 SW Bond Ave
Portland, OR 97239-4501

Call (503) 494-7246 Map

Mailing address

4304 SE 100th Ave
Portland, OR 97266-2543

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1073093134

Jessica R. Nethercote, LMT SPECIALIST's National Provider Identifier is 1073093134, issued on Aug 17, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Aug 17, 2018.