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Individual

MR. SETH J JAGGER KAESER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
2635 NW ROLLING GREEN DR, CORVALLIS, OR 97330-3519
(541) 752-0545
Mailing address
2635 NW ROLLING GREEN DR, CORVALLIS, OR 97330-3519
(541) 752-0545

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60036
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500653934
OR
Enumeration date
01/17/2013
Last updated
03/04/2022
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