Individual
JONATHAN MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1244 ADAMS ST, EUGENE, OR 97402-3928
(480) 524-0942
Mailing address
1244 ADAMS ST, EUGENE, OR 97402-3928
(480) 524-0942
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21749
OR
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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