Individual
JENNA KRIEGSHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3871 FAIRVIEW INDUSTRIAL DR SE, SALEM, OR 97302-1180
(503) 391-9762
Mailing address
150 INDIAN OAK CT UNIT 9, MOLALLA, OR 97038-8342
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201391721
OR
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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