OrganizationActive
Jamie Slagel Lac LLC
NPI 1013504208 · Physical Therapist · Enterprise, OR
Provider details
- NPI number
- 1013504208
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jamie Kimball, Owner(541) 398-8318
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
616 W North St
Enterprise, OR 97828-1427
Phone: (541) 398-8318
Fax: (541) 960-3904
Approximate (ZIP-level) locationGet directions
Mailing address
616 W North St
Enterprise, OR 97828-1427
Other names (DBA / former)
- Doing business as
- Eagle Cap Wellness
Registry dates
- Enumerated
- 2020-12-22
- Last updated
- 2020-12-22
- Certified
- 2020-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.