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Individual

JENNIFER SARA SEMMELROTH

Active
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Individual

JENNIFER SARA SEMMELROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01085
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00834454
MEDICARE RAILROAD
OR
05
—
2039355
—
WA
05
—
500605524
—
OR
01
—
911019392
COMMERCIAL
—
Enumeration date
10/12/2006
Last updated
11/22/2021
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