Individual
IAN JAMESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2508 PACIFIC AVE, APT. #2, FOREST GROVE, OR 97116-2377
(208) 351-7245
Mailing address
2508 PACIFIC AVE, APT. #2, FOREST GROVE, OR 97116-2377
(208) 351-7245
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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