Individual
JASON LEE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1165 PEARL ST, EUGENE, OR 97401-3521
(541) 343-4343
Mailing address
2097 S BERTELSEN RD, EUGENE, OR 97405-9456
(541) 973-9733
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17317
OR
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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