Provider Demographics
NPI:1922355056
Name:BARRIE, JILL CHRISTINE (LMT)
Entity Type:Individual
Prefix:MISS
First Name:JILL
Middle Name:CHRISTINE
Last Name:BARRIE
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 1:20508 SW ROY ROGERS RD.
Mailing Address - Street 2:STE C-115
Mailing Address - City:SHERWOOD
Mailing Address - State:OR
Mailing Address - Zip Code:97140
Mailing Address - Country:US
Mailing Address - Phone:503-906-3585
Mailing Address - Fax:503-906-3586
Practice Address - Street 1:20508 SW ROY ROGERS RD
Practice Address - Street 2:STE C-115
Practice Address - City:SHERWOOD
Practice Address - State:OR
Practice Address - Zip Code:97140
Practice Address - Country:US
Practice Address - Phone:503-906-3585
Practice Address - Fax:503-906-3586
Is Sole Proprietor?:No
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR12510225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist