Individual
JESSE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4135 QUEST DR, EUGENE, OR 97402-8768
(541) 461-8006
Mailing address
4135 QUEST DR, EUGENE, OR 97402-8768
(541) 461-8006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61503
OR
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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