Individual provider · Type 1 NPI
Jasmine Phelps, LMT
Specialist · Portland, OR
NPI number
1639402837
Active
Practice location
2125 N Willis Blvd, Suite A
Portland, OR 97217-6841
Mailing address
3324 NE 51st Ave
Portland, OR 97213-2422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 16318 (OR) |
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.
3 other providers at this address
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- Lee Wolfe Shershow, MDSpecialist Portland, OR NPI 1003898669
- Maureen L. Wiese, C.PEDSpecialist Portland, OR NPI 1003978610
- Patricia Jean Norris, L.M.T.Specialist Portland, OR NPI 1013101906
- Alexis Mutchler, LMTSpecialist Portland, OR NPI 1013215912
- Erin Von Burg, LESpecialist Portland, OR NPI 1023865052
About NPI 1639402837
Jasmine Phelps, LMT's National Provider Identifier is 1639402837, issued on Sep 7, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Jul 1, 2014.