Jacob Wall

NPI #1245118801 in Silverton, Oregon

Provider Information

NPI Number: 1245118801
Entity Type: Individual
Name: Jacob Wall
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Aug 22, 2025
Last Updated: Aug 22, 2025

Practice Location

Address: 240 PHELPS ST
City: Silverton
State: Oregon
ZIP Code: 97381-2042
Phone: (503) 873-1647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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