Individual
DR. JACQUE RAE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, LAC
Contact information
Practice address
470 6TH ST STE B, LAKE OSWEGO, OR 97034-2920
(503) 635-7087
Mailing address
470 6TH ST STE B, LAKE OSWEGO, OR 97034-2920
(503) 635-7087
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2691
OR
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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