Individual
MR. JACOB ROBERT DAUMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
5802 SE POWELL BLVD # 201, PORTLAND, OR 97206-2826
(503) 567-5586
Mailing address
PO BOX 66311, PORTLAND, OR 97290-6311
(503) 753-4313
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00937
OR
Other
Enumeration date
05/27/2009
Last updated
07/23/2020
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