Individual
JENNA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2564 NE COURTNEY DR, BEND, OR 97701-7638
(541) 678-5277
(541) 678-5280
Mailing address
2564 NE COURTNEY DR, BEND, OR 97701-7638
(541) 678-5277
(541) 678-5280
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
113275
OR
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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