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Jennifer Marie Boom, LMT
Massage Therapist in Gresham, Oregon
NPI 1164547634

Jennifer Marie Boom is a Massage Therapist based in Gresham, OR. Jennifer Marie Boom practices in Gresham, OR and has the professional credentials of LMT. The NPI Number for Jennifer Marie Boom is 1164547634 and holds a License No. 7615 (Oregon).

The current practice location address for Jennifer Marie Boom is 24850 Se Stark St, Gresham, OR and can be reached out via phone at 503-310-2622. You can also correspond with Jennifer Marie Boom through the mailing address at 24850 SE STARK ST, GRESHAM, OR - 97030-8316 (mailing address contact number: 503-310-2622).

Location: 24850 Se Stark St, Gresham, OR, 97030-8316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164547634
Provider Name
Jennifer Marie Boom
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
24850 Se Stark St, Gresham, OR, 97030-8316
Phone Number
503-310-2622
Fax Number
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
24850 Se Stark St
City
Gresham
State
Oregon
Zip
97030-8316
Phone Number
503-310-2622
Fax Number
person
Provider Business Mailing Address Details
Address
24850 Se Stark St
City
Gresham
State
Oregon
Zip
97030-8316
Phone Number
503-310-2622
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
7615 (Oregon)
Definition
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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