Jessica L Aboulhosn (NPI# 1609120351, PAC ID# 6608029517) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1609120351 |
| PAC ID by PECOS | 6608029517 |
| Professional Enrollment ID | I20170925003148 |
| Full Name | Jessica L Aboulhosn |
| Organization Legal Name | WASHOUGAL SPORT AND SPINE INC |
| Address |
1700 Main St Suite 136 Washougal WA 98671-4133 |
| Phone Number | 3608355349 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2163580929 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1700 Main St, Suite 136, Washougal, WA 98671-4133 | 3608355349 | WASHOUGAL SPORT AND SPINE INC |
| Organization Legal Name | WASHOUGAL SPORT AND SPINE INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Williams | Physical Therapy | Washougal Sport and Spine Inc | 1700 Main St, Suite 136, Washougal, WA 98671-4133 |
| Kyle M Leif | Physical Therapy | Washougal Sport and Spine Inc | 1700 Main St, Suite 136, Washougal, WA 98671-4133 |
| Stephen M Mccarthy | Physical Therapy | Washougal Sport and Spine Inc | 1700 Main St, Suite 136, Washougal, WA 98671-4133 |
| Street Address |
1700 MAIN ST SUITE 136 |
| City | WASHOUGAL |
| State | WA |
| Zip | 98671-4133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Williams | Physical Therapy | Washougal Sport and Spine Inc | 1700 Main St, Suite 136, Washougal, WA 98671-4133 |
| Kyle M Leif | Physical Therapy | Washougal Sport and Spine Inc | 1700 Main St, Suite 136, Washougal, WA 98671-4133 |
| Stephen M Mccarthy | Physical Therapy | Washougal Sport and Spine Inc | 1700 Main St, Suite 136, Washougal, WA 98671-4133 |
| Melissa R Yorton | Physical Therapy | Washougal Sport and Spine, Inc. | 1700 Main St, Suite 136, Washougal, WA 98671-4133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katrina Eileen Moen | Nurse Practitioner | The Vancouver Clinic Inc Ps | 291 C St, Unit 110, Washougal, WA 98671-2168 |
| Elizabeth M Cook | Nurse Practitioner | The Vancouver Clinic Inc Ps | 291 C St, Unit 110, Washougal, WA 98671-2168 |
| Raynel J Hunt | Chiropractic | 1901 Main St, Washougal, WA 98671-4116 |
| City | WASHOUGAL |
| Zip Code | 98671 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | WASHOUGAL + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jessica L Aboulhosn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.