Individual
ASA JAY TELLSCHOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
145 HERITAGE AVE, EUGENE, OR 97404-2690
(541) 915-8243
Mailing address
145 HERITAGE AVE, EUGENE, OR 97404-2690
(541) 915-8243
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15684
OR
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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