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1194190298
JESSICA NIFOROS
PORTLAND, OR
NPI
1194190298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 21848)
Enumeration Date
2015-12-01
Last Update Date
2021-12-08
Business Address
JESSICA NIFOROS LMT
629 SE 84TH AVE
PORTLAND, OR 97216-1105
Phone number: 617-501-1365
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Mailing Address
JESSICA NIFOROS LMT
7931 SE STARK ST SUITE200
PORTLAND, OR 97215
Phone number: 617-501-1365
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