Individual
JONATHAN PAGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1607 SE 31ST AVE, PORTLAND, OR 97214-5003
(845) 598-2551
Mailing address
1607 SE 31ST AVE, PORTLAND, OR 97214-5003
(845) 598-2551
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17378
OR
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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