Jessie Dettwiler - Portland, OR

Jessie Dettwiler

Massage Therapist in Portland, Oregon

NPI 1740810803

Jessie Dettwiler is a Massage Therapist based in Portland, OR. Jessie Dettwiler practices in Portland, OR. The NPI Number for Jessie Dettwiler is 1740810803 and holds a License No. 25499 (Oregon).

The current practice location address for Jessie Dettwiler is 6510 Ne Siskiyou St, Portland, OR and can be reached out via phone at 503-290-4757.

Location: 6510 Ne Siskiyou St, Portland, OR, 97211-6810

NPI Number

1740810803

Provider Name

Jessie Dettwiler

Credential

Provider Entity Type

Individual

Gender

Female

Address

6510 Ne Siskiyou St, Portland, OR, 97211-6810

Phone Number

503-290-4757

Fax Number

Provider Enumeration Date

01/16/2020

Last Update Date

03/10/2024

Address

6510 Ne Siskiyou St

City

Portland

State

Oregon

Zip

97213-4572

Phone Number

503-290-4757

Fax Number

Address

6510 Ne Siskiyou St

City

Portland

State

Oregon

Zip

97213-4572

Phone Number

503-290-4757

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

25499 (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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