Jason Lasley is a Massage Therapist based in Portland, OR. Jason Lasley practices in Portland, OR. The NPI Number for Jason Lasley is 1730648494 and holds a License No. 21285 (Oregon).
The current practice location address for Jason Lasley is 2808 Ne Mlk Blvd Ste C, Portland, OR and can be reached out via phone at 503-473-8515.
Location: 2808 Ne Mlk Blvd Ste C, Portland, OR, 97233-1413
Provider Profile Details
NPI Number
1730648494
Provider Name
Jason Lasley
Credential
Provider Entity Type
Individual
Gender
Male
Address
2808 Ne Mlk Blvd Ste C, Portland, OR, 97233-1413
Phone Number
503-473-8515
Fax Number
Provider Enumeration Date
03/13/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
2808 Ne Mlk Blvd Ste C
City
State
Zip
97212-3061
Phone Number
503-473-8515
Fax Number
Provider Business Mailing Address Details
Address
2808 Ne Mlk Blvd Ste C
City
State
Zip
97212-3061
Phone Number
503-473-8515
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
21285 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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