Individual
JOHN PAUL OSGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3024 NE 63RD AVE, PORTLAND, OR 97213-4510
(503) 997-9778
Mailing address
3024 NE 63RD AVE, PORTLAND, OR 97213-4510
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7484
OR
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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