Individual
JESSICA LYNN COWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 200-3351
Mailing address
409 WILSON WAY, EAGLE POINT, OR 97524-9669
(541) 816-7910
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/19/2023
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