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Individual

JENNIFER OSTFELD MEDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
702 SW RAMSEY AVE STE 220, GRANTS PASS, OR 97527-5859
(541) 479-0765
(541) 479-3461
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3656
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269032
OR
Enumeration date
12/02/2005
Last updated
03/17/2018
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