Individual
JAKE SELECT DOUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19945 SW BOONES FERRY RD, TUALATIN, OR 97062-7272
(150) 361-2540
Mailing address
4560 SE INTERNATIONAL WAY STE 100, PORTLAND, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10462
OR
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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