Individual
JONATHAN VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
527 SE BASELINE ST STE F, HILLSBORO, OR 97123-4149
(503) 994-9211
(503) 994-9211
Mailing address
9205 E BURNSIDE ST APT 106, PORTLAND, OR 97216-1571
(503) 954-6892
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023316
OR
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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