Individual
JOY MARIE FENTRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 NW 4TH ST, CORVALLIS, OR 97330-6409
(541) 286-4439
Mailing address
426 NW 4TH ST, CORVALLIS, OR 97330-6409
(541) 286-4439
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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