Individual provider · Type 1 NPI

Jessica Evans, L.M.T.

Massage Therapist · Portland, OR

NPI number 1154728376 Active

Practice location

1830 NE Grand Ave
Portland, OR 97212-3912

Mailing address

537 N Stafford St
Portland, OR 97217-1577

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19804 (OR)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1154728376

Jessica Evans, L.M.T.'s National Provider Identifier is 1154728376, issued on Dec 3, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Dec 3, 2014.