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Individual

JACOB PLASKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
11507 SW SHILO LN, PORTLAND, OR 97225-5923
(503) 643-2225
Mailing address
20 SW MURRAY BLVD, BEAVERTON, OR 97005-0666
(404) 909-5764

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
5745
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5745
OREGON BOARD OF CHIROPRACTIC EXAMINERS
OR
Enumeration date
08/31/2016
Last updated
09/20/2016
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