Individual
KIMBER L JUNGWIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
929 NW GRANT AVE, CORVALLIS, OR 97330-4503
(541) 223-8668
Mailing address
2368 ERMINE ST SE, ALBANY, OR 97322-5728
(541) 223-8668
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
10182400
OR
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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