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Individual

JARROD LUMMIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1600 STATE ST, SALEM, OR 97301
(503) 540-6300
(503) 540-6404
Mailing address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
(503) 540-6404

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
2012004495
MO
2251X0800X
Orthopedic Physical Therapist
Primary
PT60112

Other

Enumeration date
02/15/2012
Last updated
04/25/2019
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