Individual provider · Type 1 NPI

Jennifer Dee Moore, LMT

Massage Therapist · Lake Oswego, OR

NPI number 1992007884 Active

Practice location

478 2nd St
Lake Oswego, OR 97034-3127

Call (918) 612-5378 Map

Mailing address

295 3rd St, 17
Lake Oswego, OR 97034-3053

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X15174 (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 1992007884

Jennifer Dee Moore, LMT's National Provider Identifier is 1992007884, issued on Nov 26, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Oswego, OR. The record was last updated on Nov 26, 2010.