Individual
MR. JASON D ANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A., L.M.T.
Contact information
Practice address
4900 SE DIVISION ST, PORTLAND, OR 97206-1544
(503) 445-9771
(503) 445-9772
Mailing address
4900 SE DIVISION ST, PORTLAND, OR 97206-1544
(503) 445-9771
(503) 445-9772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7335
OR
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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