Individual
MRS. JANET ADELE PENNY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SE COURT PL, L01, PENDLETON, OR 97801
(541) 276-0250
(541) 276-0253
Mailing address
1600 SE COURT PL, L01, PENDLETON, OR 97801
(541) 276-0250
(541) 276-0253
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD19780
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081091
—
OR
Enumeration date
11/04/2005
Last updated
07/08/2007
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