Individual
JENNIFER MARIE EBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN/IP
Contact information
Practice address
421 SE EVANS ST, MCMINNVILLE, OR 97128-6111
(503) 472-3141
(503) 472-9334
Mailing address
421 SE EVANS ST, MCMINNVILLE, OR 97128-6111
(503) 472-3141
(503) 472-9334
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202005140LPN
OR
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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