Individual
ANTHONY RYAN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
380 Q ST, SPRINGFIELD, OR 97477-2120
(541) 606-5954
Mailing address
380 Q ST, SPRINGFIELD, OR 97477-2120
(541) 606-5954
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12999
OR
Other
Enumeration date
09/13/2006
Last updated
02/02/2022
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