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Ethan Jeffries, LMT
Massage Therapist in Gresham, Oregon
NPI 1699301119

Ethan Jeffries is a Massage Therapist based in Troutdale, OR. Ethan Jeffries practices in Gresham, OR and has the professional credentials of LMT. The NPI Number for Ethan Jeffries is 1699301119 and holds a License No. 25719 (Oregon).

The current practice location address for Ethan Jeffries is 4253 Se 182Nd Ave, Gresham, OR and can be reached out via phone at 503-661-5090.

Location: 4253 Se 182Nd Ave, Gresham, OR, 97060-2166
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699301119
Provider Name
Ethan Jeffries
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
4253 Se 182Nd Ave, Gresham, OR, 97060-2166
Phone Number
503-661-5090
Fax Number
Provider Enumeration Date
03/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4253 Se 182Nd Ave
City
Gresham
State
Oregon
Zip
97030-5083
Phone Number
503-661-5090
Fax Number
person
Provider Business Mailing Address Details
Address
4253 Se 182Nd Ave
City
Gresham
State
Oregon
Zip
97030-5083
Phone Number
503-661-5090
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
25719 (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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