Individual
DR. JENNIFER L. WRAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., FAAP
Contact information
Practice address
920 SW RANGE DR, WALDPORT, OR 97394-9634
(541) 563-3197
Mailing address
PO BOX 2847, CORVALLIS, OR 97339-2847
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD21902
OR
Other
Enumeration date
06/16/2006
Last updated
11/03/2020
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