Individual
MISS JAMIE E EHRKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
123 LANEDA AVE, MANZANITA, OR 97130
(503) 368-3800
Mailing address
PO BOX 1313, MANZANITA, OR 97130-1313
(503) 368-3800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14374
OR
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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