Jennifer Jean Vaselaney, LMT
Individual provider Active NPI Massage Therapist · Aurora, OR
NPI 1952154338 · NPPES record last updated Apr 8, 2024
Key facts
- NPI
- 1952154338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- ORLMT26828 (OR)
- Practice address
- 21561 Main St NE
Aurora, OR 97002-9233 - Phone
- (971) 298-9322
- NPI assigned
- Apr 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| ORLMT26828 | OR | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | ORLMT26828 | OR | Yes |
Addresses
Primary practice location
21561 Main St NE
Aurora, OR 97002-9233
Mailing address
PO Box 671
Aurora, OR 97002-0671
Phone (971) 303-1270
Other providers in Aurora, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2024. 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.