Individual
JENNA SUSANNE WERTHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2558 TROY CT, WEST LINN, OR 97068-7306
(180) 525-9755
Mailing address
2558 TROY CT, WEST LINN, OR 97068-7306
(805) 259-7554
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201806456RN
OR
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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