Individual
MR. JOSEPH THOMAS STOVALL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ESQ., LMT
Contact information
Practice address
4313 NE TILLAMOOK ST, PORTLAND, OR 97213-1315
(971) 207-3419
Mailing address
14900 S STEVENS RD, OREGON CITY, OR 97045-8438
(301) 509-3556
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27341
OR
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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