Individual
MR. JAMES JOHN TELLES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
10175 SW BARBUR BLVD, 300BG, PORTLAND, OR 97219-5908
(971) 322-7934
Mailing address
10175 SW BARBUR BLVD, 300BG, PORTLAND, OR 97219-5908
(971) 322-7934
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11088
OR
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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