PAUL E JAQUES — Medicare Enrolled Provider (PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE, OR)
PAUL E JAQUES — Medicare Enrolled Provider (PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE, OR) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: PAUL E JAQUES; Type: Individual; NPI: 1003262635.
| Name | PAUL E JAQUES |
|---|---|
| Type | Individual |
| NPI | 1003262635 |
| Provider type | PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE |
| State | OR |
| Enrollment ID | I20160621002363 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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