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Jayde Theobald, LMT
NPI 1982937140 · on the registry since 2009 · sole proprietor
Practice
- Address
- 4642 Se Madison St
Portland, OR 97215 - Phone
- (503) 313-6626
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon