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Individual

JENNA MAREN VERNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1000 N PROVIDENCE DR STE 120, NEWBERG, OR 97132-7582
(503) 537-5900
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6904
OR
2251X0800X
Orthopedic Physical Therapist
6904
OR

Other

Enumeration date
09/06/2012
Last updated
01/15/2021
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