Individual
PATRICK JOSEPH JAMSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
875 PERIMETER DR, MOSCOW, ID 83844-9803
(503) 734-6939
Mailing address
325 ASH ST, SILVERTON, OR 97381-2205
(503) 873-3336
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
A722662
OR
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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