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Individual

DR. JENNIFER ANN FLETCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C., LAC.

Contact information

Practice address
0224 SW HAMILTON ST STE 101, PORTLAND, OR 97239-6418
(502) 222-5005
(800) 491-8171
Mailing address
0224 SW HAMILTON ST STE 101, PORTLAND, OR 97239-6418
(502) 222-5005
(800) 491-8171

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2317
OR
171100000X
Acupuncturist
AC00250
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051297
CONTRACTOR
OR
Enumeration date
05/19/2006
Last updated
07/31/2017
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