Individual
JUSTIN STAMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 E. MAIN ST., TALENT, OR 97540
(541) 210-5999
Mailing address
PO BOX 961, TALENT, OR 97540-0961
(541) 210-5999
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25929
OR
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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