Individual provider · Type 1 NPI

Jaci Lavon Roe

Massage Therapist · Troutdale, OR

NPI number 1669960316 Active

Practice location

233 E Columbia River Hwy
Troutdale, OR 97060-2078

Fax (503) 491-0547

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11851 (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 1669960316

Jaci Lavon Roe's National Provider Identifier is 1669960316, issued on Apr 27, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Troutdale, OR. The record was last updated on Apr 27, 2018.