MR. Jesse Stuckey
NPI #1336366558 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1336366558
- Entity Type
- Individual
- Name
- MR. Jesse Stuckey
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Apr 19, 2007
- Last Updated
- May 4, 2011
Practice Location
- Address
- 101 S STATE ST STE 200G
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97034-3900
- Phone
- (503) 636-3028
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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