Individual
MR. JACOB S GUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
965 CAPITOL ST NE, SALEM, OR 97301-1202
(503) 371-4259
Mailing address
965 CAPITOL ST NE, SALEM, OR 97301-1202
(503) 371-4259
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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