Individual
CHARLES OSGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 N CANYON BLVD, SUITE B, JOHN DAY, OR 97845-1149
(541) 953-5507
Mailing address
130 N CANYON BLVD, SUITE B, JOHN DAY, OR 97845-1149
(541) 953-5507
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20237
OR
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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