Individual
NATHANIEL STUART GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2245 BUCKHORN SPRINGS RD, ASHLAND, OR 97520-8768
(541) 488-6757
Mailing address
2245 BUCKHORN SPRINGS RD, ASHLAND, OR 97520-8768
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17121
OR
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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