Individual provider · Type 1 NPI

Jacqueline Marie, LMT

Other Technician · Portland, OR

NPI number 1629311865 Active

Practice location

5408 SE 111th Ave
Portland, OR 97266-4148

Call (503) 803-8352 Map

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000X3453 (OR)

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1629311865

Jacqueline Marie, LMT's National Provider Identifier is 1629311865, issued on Apr 5, 2013. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Portland, OR. The record was last updated on Apr 5, 2013.