Provider Demographics
NPI:1346977329
Name:JONES-SAXTON, THERESA (LAC)
Entity Type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:
Last Name:JONES-SAXTON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MS
Other - First Name:THERESA
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:1300 SW PARK AVE APT 709
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-3555
Mailing Address - Country:US
Mailing Address - Phone:951-505-0374
Mailing Address - Fax:
Practice Address - Street 1:18840 SW BOONES FERRY RD STE 110
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-9688
Practice Address - Country:US
Practice Address - Phone:503-941-5351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-01
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR172099171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist