Individual
JENNIFER L PLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 HILYARD ST STE 540, EUGENE, OR 97401-8122
(458) 205-7070
(458) 205-7089
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1459
(360) 729-3066
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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