JARED RUSSELL

MCMINNVILLE, OR
NPI1841690286
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  09077)
Enumeration Date2014-09-03
Last Update Date2014-09-03
Business Address
-- JARED RUSSELL PTA
421 S EVANS ST
MCMINNVILLE, OR 97128
Phone number: 503-472-3141
Mailing Address
-- JARED RUSSELL PTA
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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