Individual
DR. JANESSA S SICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
180 FORD RD, JOHN DAY, OR 97845-2009
(541) 575-0404
(541) 575-1124
Mailing address
180 FORD RD, JOHN DAY, OR 97845-2009
(541) 575-0404
(541) 575-1124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO171718
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500659933
—
OR
Enumeration date
03/22/2013
Last updated
07/19/2021
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