Individual
JONATHAN P SAMPSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
364 SE WILSON AVE, BEND, OR 97702-1711
(541) 388-2681
(541) 388-9236
Mailing address
62593 QUAIL RIDGE RD, BEND, OR 97701-9553
(541) 318-6355
(541) 388-9236
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2412
OR
Other
Enumeration date
08/16/2005
Last updated
07/08/2007
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