Jake D Mathis

NPI #1265173959 in Newport, Oregon

Provider Information

NPI Number
1265173959
Entity Type
Individual
Name
Jake D Mathis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Peer Specialist
Enumeration Date
Apr 5, 2022
Last Updated
Apr 5, 2022

Practice Location

Address
547 SW 7TH ST
State
Oregon
ZIP Code
97365-4909
Phone
(541) 574-9570

Specialties & Taxonomy Codes

Specialty
Peer Specialist

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