IndividualActive
Jennifer Fox, BS, LMT
NPI 1154629988 · Specialist · Portland, OR
Provider details
- NPI number
- 1154629988
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- BS, LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5652 (OR)
Specialties & taxonomies
Other Service Providers
Practice location
6018 Se Stark St
Portland, OR 97215-1990
Phone: (503) 808-9145
Fax: (503) 473-8085
Approximate (ZIP-level) locationGet directions
Mailing address
6018 Se Stark St
Portland, OR 97215-1990
Registry dates
- Enumerated
- 2011-03-02
- Last updated
- 2011-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.