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NPI Code Detail

MEDICARE: JESSICA TAMURA DPT

MEDICARE: JESSICA TAMURA DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1861824757
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA TAMURA DPT
Provider Business Mailing Address
First Line : 2838 NW IVY LN
Second Line :
City : CAMAS
State : WA
Zip : 98607-7958
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16219 SE 12TH ST
Second Line : STE 100
City : VANCOUVER
State : WA
Zip : 98683-8904
Country : US
Telephone Number : 360-253-4020
Fax Number : 360-604-9293
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2013
Last Update Date : 04/16/2018

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Directions to “ JESSICA TAMURA DPT” Practice Location

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