IndividualActive
Amy Beth Jacobsen, L.M.T.
NPI 1194119727 · Massage Therapist · Tualatin, OR
Provider details
- NPI number
- 1194119727
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- L.M.T.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 9342 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
8265 Sw Seminole Trl
Tualatin, OR 97062-8128
Phone: (503) 636-3703
Approximate (ZIP-level) locationGet directions
Mailing address
8265 Sw Seminole Trl
Tualatin, OR 97062-8128
Registry dates
- Enumerated
- 2015-03-20
- Last updated
- 2021-04-26
- Certified
- 2021-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.