Individual
JAMES ANTHONY JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
10700 SW BEAVERTON HILLSDALE HWY STE 605, BEAVERTON, OR 97005-3019
(775) 230-2460
Mailing address
18232 SW ORLOV CT, ALOHA, OR 97078-1635
(775) 230-2460
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23189
OR
Other
Enumeration date
10/20/2019
Last updated
10/20/2019
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