JACOB THOMAS MENCHACA

CORVALLIS, OR
NPI1720971435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  PG225276)
Enumeration Date2025-06-02
Last Update Date2025-06-02
Business Address
JACOB THOMAS MENCHACA
3600 NW SAMARITAN DR
CORVALLIS, OR 97330-5472
Phone number: 541-768-4906
Mailing Address
JACOB THOMAS MENCHACA
3600 NW SAMARITAN DR
CORVALLIS, OR 97330-5472
Phone number: 541-768-4906
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