Individual
JESSICA MARIE MCEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1128 NW HARRIMAN ST, BEND, OR 97703-1947
(541) 330-4637
(541) 322-7565
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7752
(541) 322-7500
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
10/29/2018
Last updated
10/12/2021
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