Individual
EMILEE NICOLE JERGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2444 NE DIVISION ST, GRESHAM, OR 97030-6020
(503) 667-1010
(503) 667-2246
Mailing address
2444 NE DIVISION ST, GRESHAM, OR 97030-6020
(503) 667-1010
(503) 667-2246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4111
OR
Other
Enumeration date
07/25/2011
Last updated
08/23/2016
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