Individual
JASON MICHAEL TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
611 SISKIYOU BLVD STE 8, ASHLAND, OR 97520-2151
(541) 482-1718
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2373
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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