Individual
MICHAEL ALLEN JOKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
996 NW CIRCLE BLVD, STE 101, CORVALLIS, OR 97330-1410
(541) 757-0878
(541) 757-0879
Mailing address
PO BOX 34569, SEATTLE, WA 98124-1569
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
15705
CA
225100000X
Physical Therapist
Primary
1761
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137591
—
OR
Enumeration date
12/28/2005
Last updated
11/05/2007
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