Jacob Vining
NPI #1578300810 in The Dalles, Oregon
Provider Information
- NPI Number
- 1578300810
- Entity Type
- Individual
- Name
- Jacob Vining
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Jul 12, 2024
- Last Updated
- Dec 10, 2024
Practice Location
- Address
- 1060 WEBBER ST
- City
- The Dalles
- State
- Oregon
- ZIP Code
- 97058-3749
- Phone
- (541) 296-5452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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