Individual
MR. ROSS J JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
781 BLACK OSK DR #102, MEDFORD, OR 97504-8383
(541) 789-4236
(541) 789-5965
Mailing address
2825 E BARNETT RD, RRMC MED STAFF, MEDFORD, OR 97504-8332
(541) 789-4281
(541) 789-4806
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12314-24
WI
225100000X
Physical Therapist
Primary
61025
OR
Other
Enumeration date
08/14/2013
Last updated
01/03/2020
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