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Individual

MS. JEANI G BUHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2860 CREEKSIDE CIR, MEDFORD, OR 97504
(541) 779-8367
(541) 779-7471
Mailing address
519 PRIM ST, ASHLAND, OR 97520
(541) 488-4588

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200250075NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000847
OR
01
005591002
REGENCE BLUE CROSS
OR
Enumeration date
01/26/2006
Last updated
10/15/2007
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