Individual
JAIME LORAINE ZIEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
1460 G ST, SPRINGFIELD, OR 97477-4112
(541) 747-4400
Mailing address
446 DUANE ST, ASTORIA, OR 97103-4421
(541) 556-8957
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
108644
OR
Other
Enumeration date
10/19/2017
Last updated
03/17/2018
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