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NPI Code Detail

MEDICARE: JENNIFER DEKANY LMT

MEDICARE: JENNIFER DEKANY LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist13900OR

General Provider Information

NPI Number : 1811813652
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER DEKANY LMT
Provider Business Mailing Address
First Line : 4512 NE 47TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97218-1614
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7415 N OATMAN AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97217-1213
Country : US
Telephone Number : 503-281-8989
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2026
Last Update Date : 06/25/2026

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Directions to “ JENNIFER DEKANY LMT” Practice Location

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