Individual
JESSE QUARUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E 33RD ST STE 204, VANCOUVER, WA 98663-2776
(360) 823-0138
(360) 823-0141
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61569028
WA
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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