Individual
JEREMY POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
882 VAN BUREN ST, EUGENE, OR 97402
(541) 525-0363
Mailing address
882 VAN BUREN ST, EUGENE, OR 97402-4822
(541) 525-0363
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23713
OR
225700000X
Massage Therapist
3386
NE
Other
Enumeration date
09/13/2016
Last updated
07/07/2018
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