Individual
DR. JASON WYSOCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D., M.S.
Contact information
Practice address
7455 SW BEVELAND RD, TIGARD, OR 97223-8610
(503) 894-9118
(503) 894-7398
Mailing address
7455 SW BEVELAND RD, TIGARD, OR 97223-8610
(503) 894-9118
(503) 894-7398
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
3076
OR
Other
Enumeration date
02/17/2016
Last updated
02/26/2025
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