Individual
ARIANNA PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
257 SW MADISON AVE STE 200, CORVALLIS, OR 97333-4757
(541) 214-9663
Mailing address
2330 NW ROLLING GREEN DR APT 107, CORVALLIS, OR 97330-3971
(541) 214-9663
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
105443
OR
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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