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

JACQUELINE T. FARLESS, L.M.T.

Active Sole Proprietor

JACQUELINE T. FARLESS, L.M.T. is a Contractor healthcare provider located in SELMA, Oregon. NPI 1447420674 is currently active in the NPPES registry. Verify at CMS.

Contractor · SELMA, OR

Registration Details

NPI Number
1447420674
Provider Type
Individual
Gender
Female
NPI Issued
Mar 4, 2008 (18.438197646533 yrs)
Last Updated
Mar 4, 2008
License
7399 (OR)
Sole Proprietor
Yes

Practice Information

Address
5616 LAKE SHORE DR
SELMA, OR, 975389711
Browse OR providers · Browse ZIP 97538
Phone
5416599437
Fax
5415974749
Primary Specialty
Contractor
171W00000X
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.