Individual
JASON D BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
560 COUNTRY CLUB PKWY # B, EUGENE, OR 97401-6043
(541) 683-5139
(541) 683-5783
Mailing address
685 36TH AVE NE, SALEM, OR 97301-4741
(503) 540-8701
(503) 371-8772
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3871
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233354
—
OR
Enumeration date
01/05/2006
Last updated
04/05/2018
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