Allred, Jennifer Emma

Allred, Jennifer Emma is an individual health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-2045. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Allred, Jennifer Emma can be contacted via phone (541) 267-5151.

Contact Information

Primary practice address
1900 Woodland Dr Coos Bay OR 97420-2045
Phone: (541) 267-5151
Fax: (541) 266-4527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 908 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 086006061N3 Oregon

Profile Details

NPI number 1124078407
LBN Legal business name Allred, Jennifer Emma
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jan 20th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124078407 NPPES
Oregon Other 1407812365 GROUP NPI NORTH BEND MEDICAL CENTER
Oregon Other P01567261 GROUP NPI NORTH BEND MEDICAL CENTER
Oregon Other R0000WFBTV GROUP NPI NORTH BEND MEDICAL CENTER
Oregon Other 93-0635514 GROUP NPI NORTH BEND MEDICAL CENTER
Oregon Other 161133 GROUP NPI NORTH BEND MEDICAL CENTER
Oregon MEDICAID 500677191 GROUP NPI NORTH BEND MEDICAL CENTER

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