Individual
JUSTYN LEE HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
7180 SW HAZELFERN RD, TIGARD, OR 97224-7762
(503) 772-3297
(503) 496-0835
Mailing address
766 LOCKHAVEN DR NE APT D, KEIZER, OR 97303-3760
(503) 507-8927
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18893
OR
Other
Enumeration date
08/04/2012
Last updated
08/04/2012
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