Individual
JERRY MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
835 SW 11TH ST, NEWPORT, OR 97365-4802
(541) 265-5356
Mailing address
835 SW 11TH ST, NEWPORT, OR 97365-4802
(541) 265-5356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2253
AZ
225100000X
Physical Therapist
Primary
6116
OR
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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