Individual
JEANINE WEARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
412 NE FORD ST, MCMINNVILLE, OR 97128-4608
(503) 434-7525
Mailing address
412 NE FORD ST, MCMINNVILLE, OR 97128-4608
(503) 434-7525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00113667
WA
163W00000X
Registered Nurse
Primary
—
OR
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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