Jamie Slagel Lac LLC

NPI #1013504208 in Enterprise, Oregon

Provider Information

NPI Number: 1013504208
Entity Type: Organization
Organization Name: Jamie Slagel Lac LLC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 22, 2020
Last Updated: Dec 22, 2020

Practice Location

Address: 616 W NORTH ST
City: Enterprise
State: Oregon
ZIP Code: 97828-1427
Phone: (541) 398-8318

Authorized Official

Name: DR. JAMIE KIMBALL, DACM
Title: OWNER
Phone: (541) 398-8318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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