NPI 1003228016

Grover L Hubbard, LMT

Practitioner Specialist Sweet Home, OR

Practice location

Address: 1262 Main St, Sweet Home, OR 97386-1608
Phone: (541) 913-9501
Fax: (541) 367-8093

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 20473 (OR)

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Registry record

NPI: 1003228016
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2014
Record last updated: 24 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.