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NPI Code Detail

MEDICARE: JOCELYN HERSHBERGER

MEDICARE:   JOCELYN  HERSHBERGER
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 Therapist

General Provider Information

NPI Number : 1811416613
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELYN HERSHBERGER
Provider Business Mailing Address
First Line : 16315 SW BARROWS RD STE 203
Second Line :
City : BEAVERTON
State : OR
Zip : 97007-9461
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16315 SW BARROWS RD STE 203
Second Line :
City : BEAVERTON
State : OR
Zip : 97007-9461
Country : US
Telephone Number : 503-746-6585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2017
Last Update Date : 03/17/2018

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Directions to “ JOCELYN HERSHBERGER ” Practice Location

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