Ms. Jennifer Norita Wiesert, LMT - Portland, OR

Ms. Jennifer Norita Wiesert, LMT

Massage Therapist in Portland, Oregon

NPI 1548914468

Jennifer Norita Wiesert is a Massage Therapist based in Portland, OR. Jennifer Norita Wiesert practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Jennifer Norita Wiesert is 1548914468 and holds a License No. 26213 (Oregon).

The current practice location address for Jennifer Norita Wiesert is 4239 Ne 79Th Ave, Portland, OR and can be reached out via phone at 458-205-4126.

Location: 4239 Ne 79Th Ave, Portland, OR, 97218-4203

NPI Number

1548914468

Provider Name

Jennifer Norita Wiesert

Credential

LMT

Provider Entity Type

Individual

Gender

Female

Address

4239 Ne 79Th Ave, Portland, OR, 97218-4203

Phone Number

458-205-4126

Fax Number

Provider Enumeration Date

02/09/2022

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
454500222	05	OR

Address

4239 Ne 79Th Ave

City

Portland

State

Oregon

Zip

97218-4203

Phone Number

458-205-4126

Fax Number

Address

4239 Ne 79Th Ave

City

Portland

State

Oregon

Zip

97218-4203

Phone Number

458-205-4126

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

26213 (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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