IndividualActive
Jacki Gethner, LMT CADC1
NPI 1629276928 · Contractor · Tigard, OR
Provider details
- NPI number
- 1629276928
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- LMT CADC1
- Sex
- Female
- Sole proprietor
- Yes
- License
- #3915 (OR)
Practice location
10900 Sw North Dakota St
Tigard, OR 97223-4121
Phone: (503) 790-0974
Mailing address
Po Box 11208
Portland, OR 97211-0208
Registry dates
- Enumerated
- 2007-07-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.