Individual
CHRISTINE NICOLE JEFFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, QMHA
Contact information
Practice address
360 CHURCH ST SE, SALEM, OR 97301-3796
(503) 373-3819
(503) 588-6465
Mailing address
360 CHURCH ST SE, SALEM, OR 97301-3796
(503) 373-3819
(503) 588-6465
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
363AM0700X
Medical Physician Assistant
—
NH
Other
Enumeration date
03/16/2019
Last updated
06/11/2019
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