Individual
MR. JEREMIAH JOSEPH KLINGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2735 20TH PL STE A, FOREST GROVE, OR 97116-2890
(503) 357-2826
Mailing address
22150 SW ROCK CREEK RD, SHERIDAN, OR 97378-9807
(503) 437-3212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18026
OR
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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