Provider Demographics
NPI:1558538025
Name:MORROW, JARROD (LMT)
Entity Type:Individual
Prefix:
First Name:JARROD
Middle Name:
Last Name:MORROW
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2442 SE 101ST AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97216-3065
Mailing Address - Country:US
Mailing Address - Phone:503-680-6082
Mailing Address - Fax:
Practice Address - Street 1:2442 SE 101ST AVE STE 308
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97216-3065
Practice Address - Country:US
Practice Address - Phone:503-680-6082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10335225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist