Individual
JAMES GIBSON THOMASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3736 N GANTENBEIN AVE, PORTLAND, OR 97227
(512) 656-1733
Mailing address
3736 N GANTENBEIN AVE, PORTLAND, OR 97227
(512) 656-1733
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28056
OR
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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