Individual
MR. BRODERICK LESLIE CRAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32501 COBURG BOTTOM LOOP, EUGENE, OR 97408
(541) 221-6802
Mailing address
32501 COBURG BOTTOM LOOP, EUGENE, OR 97408
(541) 221-6802
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16528
OR
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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