Individual
JUSTUS BENIDICT GROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 RIVER RD, EUGENE, OR 97404-3211
(541) 513-3636
Mailing address
505 RIVER RD, EUGENE, OR 97404-3211
(541) 513-3636
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16860
OR
Other
Enumeration date
03/29/2010
Last updated
07/01/2024
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