Individual
JENNIFER GILMAN RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1256
(360) 597-1472
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1256
(360) 597-1472
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA175139
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500703447
—
OR
Enumeration date
02/16/2016
Last updated
10/01/2021
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