Individual
JESSIE RYAN MCQUISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1165 PEARL ST, EUGENE, OR 97401-3521
(541) 343-4343
Mailing address
1793 PATTERSON ALY, #3, EUGENE, OR 97401-4181
(541) 430-7126
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
17787
OR
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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