Individual
JACKI LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 SE 3RD ST, TOLEDO, OR 97391-1613
(541) 336-2254
(541) 336-1803
Mailing address
321 SE 3RD ST, TOLEDO, OR 97391-1613
(541) 336-2254
(541) 336-1803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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