JASON GOUGH

SALEM, OR
NPI1639749583
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  5979)
Enumeration Date2021-07-01
Last Update Date2022-01-27
Business Address
JASON GOUGH DPT
2416 13TH ST SE STE B
SALEM, OR 97302-2546
Phone number: 503-894-2826
Mailing Address
JASON GOUGH DPT
623 GOLDEN EAGLE ST
SALEM, OR 97304-4271
Phone number: 833-764-0178
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