JASON MAYBERRY

PORTLAND, OR
NPI1235462722
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: OR  11108)
Enumeration Date2009-09-15
Last Update Date2009-09-15
Business Address
-- JASON MAYBERRY LMT
4445 SW BARBUR BLVD SUITE 104
PORTLAND, OR 97239-4047
Phone number: 503-226-4500
Mailing Address
-- JASON MAYBERRY LMT
14175 SW SPINNAKER DR
BEAVERTON, OR 97005-3656
Phone number: