Individual
JEREMY J HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
143 MADISON ST STE B, EUGENE, OR 97402-5028
(458) 910-7069
Mailing address
25022 MCCUTCHEON AVE, VENETA, OR 97487-9573
(541) 606-4132
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27914
OR
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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