Individual
JASON CHAD BERTHUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2167 NW 185TH AVE, HILLSBORO, OR 97124-7074
(503) 828-1311
Mailing address
18285 SW SALIX RIDGE ST, BEAVERTON, OR 97006-3513
(503) 430-9561
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23908
OR
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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