Individual
JENNIFER RAYNSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1848 KILLIAN SPRING DR, WOODBURN, OR 97071-5912
(415) 577-8482
Mailing address
1848 KILLIAN SPRING DR, WOODBURN, OR 97071-5912
(415) 577-8482
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
222719
OR
Other
Enumeration date
10/05/2024
Last updated
10/05/2024
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