Individual provider · Type 1 NPI

Ethan Jeffries, LMT

Massage Therapist · Gresham, OR

NPI number 1699301119 Active

Practice location

4253 SE 182nd Ave
Gresham, OR 97030-5083

Call (503) 661-5090 Map

Mailing address

892 E Historic Columbia River Hwy
Troutdale, OR 97060-2166

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X25719 (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 1699301119

Ethan Jeffries, LMT's National Provider Identifier is 1699301119, issued on Mar 16, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gresham, OR. The record was last updated on Mar 16, 2020.