Individual
MICHAEL P JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
358 W 8TH AVE, EUGENE, OR 97401-2835
(541) 255-5261
Mailing address
358 W 8TH AVE, EUGENE, OR 97401-2835
(541) 255-5261
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13845
OR
Other
Enumeration date
09/15/2010
Last updated
08/17/2015
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