Individual
JENNIFER KIRA RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 362-6070
Mailing address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 362-6070
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
163W00000X
Registered Nurse
Primary
201708088RN
OR
Other
Enumeration date
11/03/2011
Last updated
05/05/2022
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