JAYDE THEOBALD

PORTLAND, OR
NPI1982937140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  16457)
Enumeration Date2009-09-04
Last Update Date2014-10-30
Business Address
Ms. JAYDE THEOBALD LMT
4642 SE MADISON ST
PORTLAND, OR 97215-2572
Phone number: 503-313-6626
Mailing Address
Ms. JAYDE THEOBALD LMT
4642 SE MADISON ST
PORTLAND, OR 97215-2572
Phone number: 503-313-6626
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