Individual
JEANNIE MARIE PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
847 W 13TH ST, MEDFORD, OR 97501-3427
(541) 210-3956
Mailing address
847 W 13TH ST, MEDFORD, OR 97501-3427
(541) 210-3956
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000111424
OR
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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