Individual
JASON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
740 NE DALLAS ST, CAMAS, WA 98607-2058
(360) 834-5055
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 60479985
WA
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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