Individual
JOANNA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2866 CRESCENT AVE STE 105, EUGENE, OR 97408-7423
(541) 654-5499
Mailing address
2866 CRESCENT AVE STE 105, EUGENE, OR 97408-7423
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22528
OR
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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