Individual
NATHAN JOEL LAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4000 WESTCLIFF DR, HOOD RIVER, OR 97031-8711
(603) 991-3195
Mailing address
4000 WESTCLIFF DR, HOOD RIVER, OR 97031-8711
(603) 991-3195
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12149
OR
Other
Enumeration date
06/13/2017
Last updated
07/21/2022
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