JAKE SELECT DOUMA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1508789207- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 19945 SW BOONES FERRY RD, TUALATIN, OR, 970627272
- Phone
- (150) 361-2540
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: OR #10462
All Addresses
MAILING
4560 SE INTERNATIONAL WAY STE 100
PORTLAND, OR, 972224628