Doctor Name: | JAMIE L FLOCH |
NPI Number: | 1265709547 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 13545 |
Business Practice Address: | 400 E Main St Suite 180 Hillsboro, OR - 971234191 |
Business Phone Number: | 5036818125 |
Business Fax Number: | 5036818739 |
Mailing Address: | 32300 Nw Beach Rd, HILLSBORO |
State: | OR |
Postal Code: | 971248396 |
Phone Number: | 5039399081 |
Fax Number: | 5036818739 |
NPI Enumeration Date: | 11/30/2011 |
NPI Last Update Date: | 11/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 13545 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |