Individual
CAMERON GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
820 CRATER LAKE AVE STE 113, MEDFORD, OR 97504-6581
(541) 770-1606
Mailing address
1725 APACHE DR, MEDFORD, OR 97501-9602
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25044
OR
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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