Individual
DANIEL R JILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1010 NW HARRIMAN ST, BEND, OR 97701-1912
(541) 383-8910
Mailing address
1316 NW ALBANY AVE, BEND, OR 97701-3161
(541) 678-8882
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18470
OR
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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