Jesse Tristan Slater, AAS | |
816 Nw Hill St, Bend, OR 97703-2925 | |
(541) 280-7234 | |
Not Available |
Full Name | Jesse Tristan Slater |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 816 Nw Hill St, Bend, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669919981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 22002 (Oregon) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jesse Tristan Slater, AAS 18973 Baker Rd, Bend, OR 97702-7917 Ph: (541) 280-7234 | Jesse Tristan Slater, AAS 816 Nw Hill St, Bend, OR 97703-2925 Ph: (541) 280-7234 |
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