Individual
MR. JORGE CHAIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
5703 N MARINE DR, PORTLAND, OR 97203-6439
(541) 806-2709
Mailing address
1609 AUSTIN AVE, WOODBURN, OR 97071-6012
(541) 806-2709
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10225941
OR
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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