Provider Demographics
NPI:1134133689
Name:LOWE, JAIME MARIE (ATC)
Entity type:Individual
Prefix:MS
First Name:JAIME
Middle Name:MARIE
Last Name:LOWE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6545 SW GILLENWATER PLACE
Mailing Address - Street 2:
Mailing Address - City:ALOHA
Mailing Address - State:OR
Mailing Address - Zip Code:97007
Mailing Address - Country:US
Mailing Address - Phone:503-359-6145
Mailing Address - Fax:503-359-6919
Practice Address - Street 1:2333 PACIFIC AVENUE
Practice Address - Street 2:TUALITY FOREST GROVE PHYSICAL THERAPY
Practice Address - City:FOREST GROVE
Practice Address - State:OR
Practice Address - Zip Code:97116
Practice Address - Country:US
Practice Address - Phone:503-359-6145
Practice Address - Fax:503-359-6919
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORATAT9851262255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer