Individual
JESSICA LORRAINE CEARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 AMERMAN DR, PHOENIX, OR 97535-7729
(458) 291-1603
Mailing address
82 MAPLE ST, SHADY COVE, OR 97539-9843
(458) 658-9772
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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