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Individual

DR. JACOB JAMES DEARTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1200 EXECUTIVE PKWY STE 340, EUGENE, OR 97401-2169
(541) 345-1669
(541) 972-4433
Mailing address
1200 EXECUTIVE PKWY STE 340, EUGENE, OR 97401-2169
(541) 345-1669
(541) 972-4433

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6319
OR
111NR0400X
Rehabilitation Chiropractor
Primary
14477
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14477
CHIROPRACTIC LICENSE
TX
01
6319
CHIROPRACTIC LICENSE
OR
Enumeration date
01/10/2019
Last updated
05/07/2026
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