Individual
MS. JESSICA HOUSE FREDEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 NE NEFF RD, ST. CHARLES MEDICAL CENTER - BEND, BEND, OR 97701-6015
(541) 706-6892
Mailing address
PO BOX 6095, ST. CHARLES MEDICAL CENTER - BEND, BEND, OR 97708-6095
(541) 706-6892
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA169249
OR
Other
Enumeration date
12/14/2007
Last updated
04/20/2020
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