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Individual

MR. JONATHAN D RAGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
1809 NW DAVIS ST, PORTLAND, OR 97209-2145
(503) 226-8010
Mailing address
6840 SE CORA ST, PORTLAND, OR 97206-3560
(503) 226-8010

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10590
OR

Other

Enumeration date
01/08/2007
Last updated
07/08/2007
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