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NPI 1447420674

IndividualActive

Jacqueline Farless, L.M.T.

NPI 1447420674 · Contractor · Selma, OR

Provider details

NPI number: 1447420674
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Credential: L.M.T.
Sex: Female
Sole proprietor: Yes
License: 7399 (OR)

Practice location

5616 Lake Shore Dr

Selma, OR 97538-9711

Phone: (541) 659-9437

Fax: (541) 597-4749

More OR providers

Mailing address

Po Box 714

Selma, OR 97538-0714

Registry dates

Enumerated: 2008-03-04
Last updated: 2008-03-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jacqueline Farless, L.M.T. — NPI 1447420674, Selma, OR | NPI Central