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Jacob Gates, PTA

NPI 1417552688 · on the registry since 2020

Practice

Address
619 W. Bartlett Ave
Omak, WA 98841
Phone
(509) 826-0320
Organisation at this address
Omak School District
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-03

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 Washington