Individual
JENNIFER MAY FOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
940 ROYAL AVE UNIT 350, MEDFORD, OR 97504-6194
(541) 732-7460
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-7460
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201706599NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500734999
—
OR
Enumeration date
08/15/2017
Last updated
12/06/2021
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