Jamie R Macsisak
Jamie R Macsisak is a Behavior Technician in Beaverton, Oregon. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1800 NW 169th Pl Ste C100Beaverton, OR 97006-7362
Phone: (503) 747-2587
Fax: (503) 746-6323
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1679349138 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 27, 2023 |
| Last updated in NPPES | November 27, 2023 |
| Certification date | November 27, 2023 |
| Mailing address | 1800 Nw 169th Pl Ste C100, Beaverton, OR 97006-7362 |
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