Individual
JAMI LEE JCKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15202 PONDEROSA LOOP, LA PINE, OR 97739-8948
(541) 977-7309
Mailing address
15202 PONDEROSA LOOP, LA PINE, OR 97739-8948
(541) 977-7309
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19600
OR
Other
Enumeration date
03/07/2013
Last updated
06/26/2023
About Stedi
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