DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA ANNE BLAYLOCK, LMT

Active Sole Proprietor

JESSICA ANNE BLAYLOCK, LMT is a Massage Therapist healthcare provider located in PORTLAND, Oregon. NPI 1205158656 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · PORTLAND, OR

Registration Details

NPI Number
1205158656
Provider Type
Individual
Gender
Female
NPI Issued
Feb 25, 2010 (16.278546304953 yrs)
Last Updated
Feb 25, 2010
License
10266 (OR)
Sole Proprietor
Yes

Practice Information

Address
909 N BEECH ST STE 211
PORTLAND, OR, 972271260
Browse OR providers · Browse ZIP 97227
Phone
5034732009
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in PORTLAND, OR

Name Credential NPI
DR. TIMOTHY GENE IRVING DC, LMT 1689655458
MRS. LEAH JOY BOWDER 1275508780
JOANNA L MCCLISH ATC, LMT 1285690396
MR. PABLO CESAR COHEN LMT 1225088263
DIANNE L PERNETTI LMT 1639129315
MR. MICHAEL ALAN BECKLUND LMT 1083667760
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.