Easton, Jessie P

Easton, Jessie P is an individual health care provider with primary practice located at 7052 Sw Nyberg St , Tualatin OR 97062-9231. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Easton, Jessie P can be contacted via phone (503) 691-7788.

Contact Information

Primary practice address
7052 Sw Nyberg St Tualatin OR 97062-9231
Fax:
Website:

Health care specialties

Profile Details

NPI number 1205174059
LBN Legal business name Easton, Jessie P
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2013
Last updated Jan 28th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205174059 NPPES
Oregon Other 17229 STATE OF OREGON, BOARD OF MASSAGE THERAPISTS

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