Individual
MR. JASON DANIEL GALLION-ACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4905 SW GRIFFITH DR, STE #100, BEAVERTON, OR 97005-8724
(503) 591-5022
Mailing address
210 SW EDGEWAY DR, APT J 186, BEAVERTON, OR 97006-3978
(971) 732-2669
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19934
OR
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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