Individual
JOEL JANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
118 N KILLINGSWORTH ST, PORTLAND, OR 97217-2435
(503) 288-4454
Mailing address
3140 N WILLIS BLVD, PORTLAND, OR 97217-6146
(971) 284-6267
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18502
OR
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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