Individual
JASON LUDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 SE 8TH AVE STE 536, HILLSBORO, OR 97123-4218
(503) 352-7299
Mailing address
74 W 100 S, SPANISH FORK, UT 84660-2003
(702) 412-0661
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/25/2020
Last updated
05/25/2020
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