Easton, Jessie P
Easton, Jessie P is an individual health care provider with primary practice located at 7052 Sw Nyberg St , Tualatin OR 97062-9231. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Easton, Jessie P can be contacted via phone (503) 691-7788.Contact Information
Primary practice address
7052 Sw Nyberg St
Tualatin OR 97062-9231
Phone: (503) 691-7788
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 17229 | Oregon |
Profile Details
| NPI number | 1205174059 |
|---|---|
| LBN Legal business name | Easton, Jessie P |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2013 |
| Last updated | Jan 28th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205174059 | NPPES |
| Oregon | Other | 17229 | STATE OF OREGON, BOARD OF MASSAGE THERAPISTS |
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