Individual
JENNIFER DAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
375 NW BEAVER ST, SUITE 100, PRINEVILLE, OR 97754-1802
(541) 447-5165
Mailing address
1958 NE OTELAH PL, BEND, OR 97701-6123
(317) 331-0602
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
201600813NP-PP
OR
367A00000X
Advanced Practice Midwife
201600812NP-PP
OR
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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