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Individual

JENAE ULRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1901 GARDEN AVE STE 103, EUGENE, OR 97403-1934
(541) 203-0984
(541) 315-4835
Mailing address
1901 GARDEN AVE STE 103, EUGENE, OR 97403-1934
(541) 203-0984
(541) 315-4835

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2629
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500697905
OR
Enumeration date
08/01/2011
Last updated
04/17/2023
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