Individual provider · Type 1 NPI

Jacki Gethner, LMT CADC1

Contractor · Tigard, OR

NPI number 1629276928 Active

Practice location

10900 SW North Dakota St
Tigard, OR 97223-4121

Mailing address

PO Box 11208
Portland, OR 97211-0208

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X#3915 (OR)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1629276928

Jacki Gethner, LMT CADC1's National Provider Identifier is 1629276928, issued on Jul 7, 2007. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Tigard, OR. The record was last updated on Jul 8, 2007.