Individual
MRS. JAYNE RHEA OERTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
10159 E 11TH ST, TULSA, OK 74128-3058
(918) 835-5033
Mailing address
6624 S OXFORD AVE, TULSA, OK 74136-3501
(918) 835-5033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R0021893
OK
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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