Jason Alberto Ardiles
Jason Alberto Ardiles is a Massage Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2019.
- Licensed in
- OR
- In the registry since
- 2019
Practice location Address checks out
5105 SE Hawthorne BlvdPortland, OR 97215-3301
Phone: (503) 308-1479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 25004 (OR) |
|---|
Record details
| NPI number | 1588219943 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 2, 2019 |
| Last updated in NPPES | August 2, 2019 |
| Mailing address | 3819 Se Francis St, Portland, OR 97202-3214 |
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