Provider Demographics
NPI:1326225426
Name:NAVE, JILL LOUISE (LMT)
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:LOUISE
Last Name:NAVE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15653 SW 87TH AVE
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-5412
Mailing Address - Country:US
Mailing Address - Phone:503-515-1346
Mailing Address - Fax:
Practice Address - Street 1:7357 SW BEVELAND RD
Practice Address - Street 2:#200
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-8844
Practice Address - Country:US
Practice Address - Phone:503-670-4941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5153225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist