Individual
JENNIFER M DENGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
94244 4TH STREET, GOLD BEACH, OR 97444-7756
(541) 247-3510
(541) 247-3530
Mailing address
94220 4TH ST, GOLD BEACH, OR 97444-7756
(541) 247-3000
(541) 247-3101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MD3294600
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487696985
CURRY HEALTH DISTRICT NPI
OR
05
—
500682075
—
OR
01
—
930937095
CURRY HEALTH DISTRICT TAX ID
OR
Enumeration date
09/08/2014
Last updated
08/19/2015
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