Most Relevant Information
Provider Data
| NPI Number: | 1003274010 |
| Provider Name: | JESSICA CABAC |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 21750 |
Most Important Dates
| Enumeration Date: | 02/04/2016 |
| Last Updated: | 03/21/2016 |
Provider Practice Location
1304 NW CIVIC DR
GRESHAM
OR
970305569
Practice Location Phone/Fax
| Phone: | 5035121040 |
| Fax: |
Provider Mailing Location
14351 SE SUMMERFIELD WAY
HAPPY VALLEY
OR
970865895
Provider Mailing Phone/Fax
| Phone: | 5035079430 |
| Fax: |