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Individual

DR. JENNIFER BROOKE WARTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2175 NW SHEVLIN PARK RD, BEND, OR 97703
(541) 389-7741
(541) 278-8375
Mailing address
PO BOX 670, BEND, OR 97709-0670
(541) 389-7741
(541) 278-8375

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DO150827
OR
208000000X
Pediatrics Physician
LL16878
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500605181
OR
Enumeration date
09/04/2007
Last updated
07/21/2022
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