Individual
JUSTIN Q EGLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, LMT
Contact information
Practice address
2167 NW 185TH AVE, HILLSBORO, OR 97124-7074
(503) 828-1311
Mailing address
833 NW FIELDCREST WAY APT S102, BEAVERTON, OR 97006-8722
(503) 961-2565
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-8219
OR
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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