Provider Demographics
NPI:1386431211
Name:CHRISTOPHER, JENNIFER J (LMT)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:J
Last Name:CHRISTOPHER
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 1:35490 SUNNYHILL LN
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:OR
Mailing Address - Zip Code:97455-9643
Mailing Address - Country:US
Mailing Address - Phone:541-232-0185
Mailing Address - Fax:
Practice Address - Street 1:1498 E MAIN ST STE 110
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:OR
Practice Address - Zip Code:97424-2204
Practice Address - Country:US
Practice Address - Phone:541-232-0185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR28835225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty