Individual
REBECCA JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
120 NW TRINITY PL APT 401, PORTLAND, OR 97209-1957
(571) 212-0756
Mailing address
120 NW TRINITY PL APT 401, PORTLAND, OR 97209-1957
(571) 212-0756
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4130
OR
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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