Individual
JUSTIN ALESSANDRO TIJERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4630 RIVER RD N STE A, KEIZER, OR 97303-4648
(503) 304-2225
(503) 304-2226
Mailing address
4630 RIVER RD N STE A, KEIZER, OR 97303-4648
(541) 497-9969
(503) 304-2226
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25320
OR
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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