Christopher Paul Jacques
Individual provider Active NPI Technician/Technologist · Molalla, OR
NPI 1598030256 · NPPES record last updated Mar 14, 2012
Key facts
- NPI
- 1598030256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Technician/Technologist 156F00000X
- Practice address
- 872 W Main St Apt C27
Molalla, OR 97038-8865 - Phone
- (503) 984-7899
- NPI assigned
- Mar 14, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | Yes |
Addresses
Primary practice location
872 W Main St Apt C27
Molalla, OR 97038-8865
Mailing address
872 W Main St Apt C27
Molalla, OR 97038-8865
Phone (503) 984-7899
Other providers in Molalla, OR
- Sarah J Heaverlo
- Brandy D. Hoffert
- Amanda Hurst
- Inkrote Chiropractic Clinic, PC
- Lori L Inkrote
- Frank R James
- Brent A Jefferies
- Daryl L. Johnson
- Dixie Lynn Johnson
- JS Stafford Enterprises, Inc.
All providers in Molalla, OR · Technician/Technologist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.