Individual
JENNIFER PANGBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
277 SW WALNUT AVE APT 17, DALLAS, OR 97338-5102
(503) 363-3260
(503) 585-0491
Mailing address
277 SW WALNUT AVE APT 17, DALLAS, OR 97338-5102
(503) 363-3260
(503) 585-0491
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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