Individual
DAVID WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
550 SISKIYOU BLVD, ASHLAND, OR 97520-2138
(541) 488-6757
(541) 482-2064
Mailing address
550 SISKIYOU BLVD, ASHLAND, OR 97520-2138
(541) 488-6757
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21561
OR
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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