Individual
JACOB MAHNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
448 N WERTH BLVD, NEWBERG, OR 97132-7500
(503) 554-2521
Mailing address
3805 SE 182ND CT, VANCOUVER, WA 98683-8269
(360) 831-7989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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