NPI 1003262635

Paul Emerson Jaques, DPT

Practitioner Physical Therapist Corvallis, OR

Practice location

Address: 2350 NW Century Dr, Corvallis, OR 97330-3495
Phone: (541) 754-1265
Mailing address: 444 NW Elks Dr, Corvallis, OR 97330-3745

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 61646 (OR)

Other Physical Therapist providers in Oregon →

Registry record

NPI: 1003262635
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2016
Record last updated: 12 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.