Individual
JESSICA ROSE VANDEBERGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 BLANKENSHIP RD STE 448, WEST LINN, OR 97068-4191
(971) 378-0367
Mailing address
1800 BLANKENSHIP RD STE 448, WEST LINN, OR 97068-4191
(971) 378-0367
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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