Individual
JESSICA KAYLEE DUNBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, STUDENT
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
Mailing address
1324 FARRVISTA DR, WEST LINN, OR 97068-3908
(913) 951-7471
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200841477RN
OR
163W00000X
Registered Nurse
RN61200791
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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