Organization
JAMIE SLAGEL LAC LLC
Active
Other names
Eagle Cap Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE KIMBALL DACM (OWNER)
(541) 398-8318
Entity
Organization
Contact information
Practice address
616 W NORTH ST, ENTERPRISE, OR 97828-1427
(541) 398-8318
(541) 960-3904
Mailing address
616 W NORTH ST, ENTERPRISE, OR 97828-1427
(541) 398-8318
(541) 960-3904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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