Individual
JASON THOMAS EGGING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
12395 SW 68TH AVE, TIGARD, OR 97223-8508
(503) 431-2388
Mailing address
12395 SW 68TH AVE, TIGARD, OR 97223-8508
(503) 431-2388
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7210
OR
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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