Individual
MR. JAMIN DOUGLAS RAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
10552 NE GLISAN ST, PORTLAND, OR 97220-4043
(503) 314-8365
(503) 253-1434
Mailing address
10552 NE GLISAN ST, PORTLAND, OR 97220-4043
(503) 314-8365
(503) 253-1434
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6827
OR
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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