Individual provider · Type 1 NPI
Jennifer Carrie Lee
Massage Therapist · Portland, OR
NPI number
1366093916
Active
Practice location
5135 SE 41st Ave
Portland, OR 97202-4234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 17916 (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 1366093916
Jennifer Carrie Lee's National Provider Identifier is 1366093916, issued on Sep 25, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 25, 2019.