Individual
JACOB MCHUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6327 SE MILWAUKIE AVE, PORTLAND, OR 97202-5418
(503) 659-4988
(503) 353-1297
Mailing address
PO BOX 22075, MILWAUKIE, OR 97269-2075
(503) 659-4988
(503) 353-1297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA215121
OR
Other
Enumeration date
08/02/2023
Last updated
09/27/2023
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