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General NPI Number Information
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NPI Number | 1285143271
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Entity Type | Organization
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Legal Business Name | JENNYHELM, INC.
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Dates
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Enumeration Date | 09/22/2017
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 3758 SE MILWAUKIE AVE
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City | PORTLAND
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State | OR
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Zip | 97202-3805
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Country | US
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Telephone | 503-840-4787
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Fax |
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Provider Business Mailing Address
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Address Line | 3758 SE MILWAUKIE AVE
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City | PORTLAND
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State | OR
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Zip | 97202-3805
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Country | US
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Telephone | 503-840-4787
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. JENNIFER LEIGH HUKARI
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Credential | LMT
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Telephone | 503-840-4787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 21900
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License Number State | OR
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