Individual
MR. JED MICHAEL LAUTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
4242 COMMERCE ST, STE A, EUGENE, OR 97402-5412
(541) 484-9632
(541) 484-7466
Mailing address
11481 SW HALL BLVD, STE 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5420
OR
Other
Enumeration date
06/19/2007
Last updated
11/08/2007
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