Gardner, Jessica Amy
Gardner, Jessica Amy is an sole proprietor health care provider with primary practice located at 3944 N Mississippi Ave , Portland OR 97227-1163. She recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as her primary health care specialty. Gardner, Jessica Amy can be contacted via phone (503) 517-8222.Contact Information
Primary practice address
3944 N Mississippi Ave
Portland OR 97227-1163
Phone: (503) 517-8222
Fax: (503) 517-8223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Mechanotherapist | 172M00000X | 13866 | Oregon |
Profile Details
| NPI number | 1184898694 |
|---|---|
| LBN Legal business name | Gardner, Jessica Amy |
| Credentials | L.M.T. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 15th, 2008 |
| Last updated | Apr 15th, 2008 - about 17 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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