Jesse Stuckey

NPI 1336366558 - Physical Therapist - 225100000X

NPI Details
NPI 1336366558
Gender Male
Enumeration Date 04/19/2007
Last Updated 05/04/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
101 S STATE ST STE 200G
LAKE OSWEGO OR, 97034-3900, US
Phone (503) 636-3028
Fax (503) 636-1837
Business Location
101 S STATE ST STE 200G
LAKE OSWEGO OR, 97034-3900, US
Phone (503) 636-3028
Fax (503) 636-1837
Toxanomy
Taxonomy Code 225100000X
License State Virginia
License Number 2305204961
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According to our database, Mr. Jesse Stuckey NPI is 1336366558, taxonomy code is 225100000X and license number is 2305204961, license state is located at Virginia. Jesse Stuckey physically located at 101 S State St Ste 200g, Lake Oswego OR, 97034-3900. NPI Number Jesse Stuckey has the Individual type.

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1336366558 NPI number is provided on an as is basis without warranty of any kind. 1336366558 is maintained by the National Plan & Provider Enumeration System. The contents of Jesse Stuckey are for informational purposes only.