Individual
JESS RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 3RD ST, TILLAMOOK, OR 97141-3402
(503) 842-5546
(503) 815-7595
Mailing address
1100 3RD ST, TILLAMOOK, OR 97141-3402
(503) 842-5546
(503) 815-7595
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
30821
OR
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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