Individual
MR. JUSTIN BRANDMEIER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
849 SE MOSHER AVE, ROSEBURG, OR 97470-3961
(541) 505-6912
Mailing address
2259 NW TROOST ST, ROSEBURG, OR 97471-1710
(541) 505-6912
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13425
OR
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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