NPI 1285875989

Jeb S Hendrix, LMT

Practitioner Specialist Forest Grove, OR

Practice location

Address: 1911 Mountain View Ln Suite 200, Forest Grove, OR 97116-2382
Phone: (503) 357-2826

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 13892 (OR)

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Registry record

NPI: 1285875989
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Mar 2009
Record last updated: 10 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.