Individual
JENNIFER ANN HAFLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRC 2
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
Mailing address
PO BOX 579, CORVALLIS, OR 97339-0579
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
IN
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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