Individual
MR. BRADLEY HOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
147 COMMERCIAL ST NE STE 15, SALEM, OR 97301-3418
(503) 507-2575
Mailing address
147 COMMERCIAL ST NE STE 15, SALEM, OR 97301-3418
(503) 507-2575
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18615
OR
Other
Enumeration date
12/15/2012
Last updated
12/15/2012
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