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Individual

JENNIFER JENNINE BURTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701
(541) 382-4900
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-4900

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00045799
WA
207P00000X
Emergency Medicine Physician
Primary
MD213992
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0203902
LIWA
WA
01
2166BU
BSWA
WA
05
500615173
OR
05
8375610
WA
Enumeration date
06/20/2006
Last updated
04/16/2024
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