Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica R Nethercote, LMTSPECIALIST

Individual provider Specialist · NPI 1073093134

Jessica R Nethercote, LMTSPECIALIST is a Specialist in Portland, Oregon. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

3303 SW Bond Ave
Portland, OR 97239-4501
Phone: (503) 494-7246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1073093134
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMTSPECIALIST
Sole proprietorNo
NPI enumeratedAugust 17, 2018
Last updated in NPPESAugust 17, 2018

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