Individual
ROBYN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
180 FORD RD, JOHN DAY, OR 97845-2009
(541) 575-0404
Mailing address
180 FORD RD, JOHN DAY, OR 97845-2009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD201056
OR
207Q00000X
Family Medicine Physician
TL0005727
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500782011
—
OR
Enumeration date
06/01/2015
Last updated
07/19/2021
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