Individual
JENNIFER DENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
272 NW MEDICAL LOOP, SUITE C, ROSEBURG, OR 97471-5597
(541) 440-3532
(541) 440-3554
Mailing address
272 NW MEDICAL LOOP, SUITE E, ROSEBURG, OR 97471-5597
(541) 440-3532
(541) 440-3554
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500663450
—
OR
Enumeration date
06/25/2012
Last updated
05/21/2015
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