Individual
JACOB JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 HIGH ST, EUGENE, OR 97401-3297
(541) 505-7427
(541) 505-9306
Mailing address
2087 ALDER ST, EUGENE, OR 97405-2939
(415) 419-7785
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23939
OR
Other
Enumeration date
01/17/2018
Last updated
03/17/2018
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