DAVID JACOB

PORTLAND, OR
NPI1639352909
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  14424)
Enumeration Date2007-12-10
Last Update Date2007-12-10
Business Address
-- DAVID JACOB LMT
2534 SE 35TH AVE
PORTLAND, OR 97202-1502
Phone number: 503-522-5550
Mailing Address
-- DAVID JACOB LMT
2534 SE 35TH AVE
PORTLAND, OR 97202-1502
Phone number: 503-522-5550
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