Individual
JOSEPH BUDZISZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
580 BLACKSTONE ALY, JACKSONVILLE, OR 97530-9007
(541) 899-2760
(541) 702-2319
Mailing address
PO BOX 1077, JACKSONVILLE, OR 97530-1077
(541) 899-2760
(541) 702-2319
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22635
OR
Other
Enumeration date
10/27/2020
Last updated
10/29/2020
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