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Individual

JESSIE CLAUSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
88267 TERRITORIAL RD, SUITE 10A, VENETA, OR 97487-9499
(541) 935-0761
(541) 935-0536
Mailing address
12705 VILLAGE LOOP RD, SWISSHOME, OR 97480
(541) 297-2705

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09361
OR

Other

Enumeration date
09/07/2016
Last updated
09/07/2016
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