Individual
JESSICA LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2577 NE COURTNEY DR STE 100, BEND, OR 97701-7752
(541) 383-3005
(541) 383-1883
Mailing address
600 SW COLUMBIA ST STE 6210, BEND, OR 97702-1099
(541) 383-3005
(541) 383-1883
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000109485
OR
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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