Individual
JESSICA LEDOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3311 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(541) 248-6972
Mailing address
2936 SW ANCHOR CT, LINCOLN CITY, OR 97367-1828
(503) 927-5645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA215361
OR
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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