Individual
LYDIA EVE JAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
830 NE 47TH AVE, PORTLAND, OR 97213-2212
(503) 215-2233
Mailing address
8975 COLONY DR, REDWOOD VALLEY, CA 95470-9505
(707) 485-2708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62832
OR
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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