Individual
JOSHUA EVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1670 LINDEN AVE, SPRINGFIELD, OR 97477-7633
(541) 543-9689
Mailing address
1670 LINDEN AVE, SPRINGFIELD, OR 97477-7633
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22428
OR
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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