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Individual

JACOB M KLINGBEIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
3199 NW GLENCOE RD, HILLSBORO, OR 97124-1525
(701) 370-5202
Mailing address
3199 NW GLENCOE RD, HILLSBORO, OR 97219
(503) 747-4377
(503) 747-4502

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62977
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
R186487
OR
Enumeration date
02/07/2019
Last updated
06/03/2022
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