Individual
JON MARTIN SCHAEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 5TH ST, LAKE OSWEGO, OR 97034-3079
(503) 793-8676
Mailing address
480 5TH ST, LAKE OSWEGO, OR 97034-3079
(503) 793-8676
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23475
OR
Other
Enumeration date
09/30/2020
Last updated
06/28/2022
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