Individual
JENNY L VEITENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
Mailing address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0001135
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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