Individual
DANIELLE RENE JERNBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3620 NW SAMARITAN DR STE 201, CORVALLIS, OR 97330-3785
(541) 768-6300
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
212794
OR
Other
Enumeration date
07/19/2022
Last updated
04/08/2025
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