Individual
JAMIE DAWN FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5571 HIGHWAY SPUR 95, ONTARIO, OR 97914-8055
(208) 550-0718
Mailing address
5571 HIGHWAY SPUR 95, ONTARIO, OR 97914-8055
(208) 550-0718
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
519225
OR
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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