Individual
JESSICA ELIZABETH WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAS
Contact information
Practice address
920 TOWN CENTRE DR, MEDFORD, OR 97504-6100
(541) 414-8488
(971) 925-4120
Mailing address
363 JANS CT, CENTRAL POINT, OR 97502-2529
(541) 973-7214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5055
OR
237700000X
Hearing Instrument Specialist
Primary
HAS-P-10247472
OR
Other
Enumeration date
08/08/2018
Last updated
10/01/2024
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