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Individual

MS. JEAN ANN FARMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
73265 CONFEDERATED WAY, PENDLETON, OR 97801
(541) 966-9830
(541) 278-7572
Mailing address
3211 SW JAY AVE, PENDLETON, OR 97801-3634
(541) 966-8980

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
354486
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171037
OR
Enumeration date
12/06/2006
Last updated
07/09/2007
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