Individual
JAMIE BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 18TH ST STE 6, SPRINGFIELD, OR 97477-4200
(541) 517-3970
Mailing address
1110 18TH ST STE 6, SPRINGFIELD, OR 97477-4200
(541) 517-3970
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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