person
Jacob Chavez
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1396466637

Jacob Chavez is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Jacob Chavez practices in Portland, OR. The NPI Number for Jacob Chavez is 1396466637 and holds a License No. (Oregon).

The current practice location address for Jacob Chavez is 2730 S Moody Ave, Portland, OR and can be reached out via phone at 503-494-3633.

Location: 2730 S Moody Ave, Portland, OR, 97201-5042
person
Provider Profile Details
NPI Number
1396466637
Provider Name
Jacob Chavez
Credential
Provider Entity Type
Individual
Gender
Male
Address
2730 S Moody Ave, Portland, OR, 97201-5042
Phone Number
503-494-3633
Fax Number
Provider Enumeration Date
09/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2730 S Moody Ave
City
State
Zip
97201-5042
Phone Number
503-494-3633
Fax Number
person
Provider Business Mailing Address Details
Address
2730 S Moody Ave
City
State
Zip
97201-5042
Phone Number
503-494-3633
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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