Jessie Dettwiler
Jessie Dettwiler is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2020
Practice location Address checks out
6510 NE Siskiyou StPortland, OR 97213-4572
Phone: (503) 290-4757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 25499 (OR) |
|---|
Record details
| NPI number | 1740810803 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 16, 2020 |
| Last updated in NPPES | January 16, 2020 |
| Certification date | January 16, 2020 |
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