David Jacob LMT

NPI 1639352909 - Massage Therapist - 225700000X

NPI Details
NPI 1639352909
Gender Male
Enumeration Date 12/10/2007
Last Updated 12/10/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
2534 SE 35TH AVE
PORTLAND OR, 97202-1502, US
Phone (503) 522-5550
Fax
Business Location
2534 SE 35TH AVE
PORTLAND OR, 97202-1502, US
Phone (503) 522-5550
Fax
Toxanomy
Taxonomy Code 225700000X
License State Oregon
License Number 14424
Remove 1639352909 NPI Number
 

According to our database, David Jacob LMT NPI is 1639352909, taxonomy code is 225700000X and license number is 14424, license state is located at Oregon. David Jacob LMT physically located at 2534 Se 35th Ave, Portland OR, 97202-1502. NPI Number David Jacob LMT has the Individual type.

Sponsored links

1639352909 NPI number is provided on an as is basis without warranty of any kind. 1639352909 is maintained by the National Plan & Provider Enumeration System. The contents of David Jacob LMT are for informational purposes only.