Jennifer Eberly
Individual provider Active NPI Massage Therapist · Milwaukie, OR
NPI 1821399692 · NPPES record last updated Nov 10, 2010
Key facts
- NPI
- 1821399692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 14418 (OR)
- Practice address
- 3716 SE International Way
Milwaukie, OR 97222-6001 - Phone
- (503) 659-0073
- Fax
- (503) 659-7471
- NPI assigned
- Nov 10, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14418 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keith D. Johns D.C., P.C. | Past |
Accepting new patients | |
| Milwaukie Chiropractic Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 14418 | OR | Yes |
Addresses
Primary practice location
3716 SE International Way
Milwaukie, OR 97222-6001
Mailing address
6631 SE 48TH Ave
Portland, OR 97206-7616
Other providers in Milwaukie, OR
- Dennis Lee Duval
- Stacey Wayne Dykes
- Irmela H Easthorpe
- Ebenezer 24-HR Residential Service LLC
- Harold Eberhart
- Shannon Claire Eckes
- Wendy J Eckhart
- Carl Eckrode
- Jennifer Edwards
- Eris Egan
All providers in Milwaukie, OR · Massage Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.