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Individual

MS. JO ANN G. BERENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
913 NW GARDEN VALLEY BLVD, BUILDING 2 MHC, ROSEBURG, OR 97470-6523
(541) 440-1000
(541) 440-1356
Mailing address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97470-6523
(541) 440-1000
(541) 440-1356

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000030459N6
OR

Other

Enumeration date
07/06/2006
Last updated
07/17/2007
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