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Tai Jaques, LMT
NPI 1285171173 · on the registry since 2017
Practice
- Address
- 507 S River St
Enterprise, OR 97828 - Phone
- (541) 426-4502
- Fax
- (541) 426-6403
- Organisation at this address
- Winding Waters Medical Clinic
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-01-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon