JACOB SMITH

PORTLAND, OR
NPI1972859676
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  17775)
Enumeration Date2012-07-31
Last Update Date2012-07-31
Business Address
-- JACOB SMITH LMT
8137 SW 40TH AVE
PORTLAND, OR 97219-3502
Phone number: 503-896-1396
Mailing Address
-- JACOB SMITH LMT
8137 SW 40TH AVE
PORTLAND, OR 97219-3502
Phone number: