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Contact Information

JESSICA A GARDNER, L.M.T.
3944 N MISSISSIPPI AVE
PORTLAND, OR97227-1163
 Phone: 503-517-8222
 Fax: 503-517-8223
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for JESSICA A GARDNER · (Female)

NPI Number 1184898694
Status Active
Credentials L.M.T.
Entity Individual
Enumeration date 04/15/2008
Last updated 04/15/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 13866
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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