Individual
JASON KNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7319 N JOHN AVE, PORTLAND, OR 97203-4885
(503) 867-4431
Mailing address
10247 N HUDSON ST, PORTLAND, OR 97203-1570
(503) 867-4431
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20606
OR
Other
Enumeration date
02/10/2015
Last updated
01/15/2016
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