Provider Demographics
NPI:1093030041
Name:SANCHEZ-HARPER, JESSICA RENEE (LMT)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:RENEE
Last Name:SANCHEZ-HARPER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:RENEE
Other - Last Name:MALABANAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2200 BROADWAY ST STE C
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-3255
Mailing Address - Country:US
Mailing Address - Phone:360-859-9794
Mailing Address - Fax:360-785-2387
Practice Address - Street 1:2200 BROADWAY ST STE C
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-3255
Practice Address - Country:US
Practice Address - Phone:360-859-9794
Practice Address - Fax:360-785-2387
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-01
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR16232225700000X
WAMP60939879225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist