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Individual

DR. JENNIFER DALE MEANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ND, LAC

Contact information

Practice address
4970 SW MAIN AVE, SUITE 200, BEAVERTON, OR 97005
(503) 641-6400
(503) 641-6401
Mailing address
4970 SW MAIN AVE, SUITE 200, BEAVERTON, OR 97005
(503) 641-6400
(503) 641-6401

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
ACU0300
OR
175F00000X
Naturopath
Primary
857
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
226292
OR
Enumeration date
04/26/2006
Last updated
07/24/2020
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