JACOB CHAVEZ

PORTLAND, OR
NPI1396466637
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  65159)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-09-06
Last Update Date2024-10-15
Business Address
JACOB CHAVEZ
2730 S MOODY AVE
PORTLAND, OR 97201-5042
Phone number: 503-494-3633
Mailing Address
JACOB CHAVEZ
2730 S MOODY AVE
PORTLAND, OR 97201-5042
Phone number: