Individual
MR. JORDAN CHARLES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
775 MENROE ST., EUGENE, OR 97402
(541) 762-2009
(541) 762-0499
Mailing address
775 MENROE ST., EUGENE, OR 97402
(541) 762-2009
(541) 762-0499
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24458
OR
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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