Individual provider · Type 1 NPI

Jillian Lucille Ingoglia, L.M.T

Specialist · Portland, OR

NPI number 1689006801 Active

Practice location

5308 SE Rhone St
Portland, OR 97206-2962

Call (503) 775-6885 Map

Mailing address

4126 N Commercial Ave
Portland, OR 97217-3026

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X19758 (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.

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About NPI 1689006801

Jillian Lucille Ingoglia, L.M.T's National Provider Identifier is 1689006801, issued on Jul 31, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Jul 31, 2013.