Beaver, Jennifer Lynn

Beaver, Jennifer Lynn is an individual health care provider with primary practice located at 3397 Delta Waters Rd , Medford OR 97504-5852. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Health Information, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Beaver, Jennifer Lynn can be contacted via phone (541) 772-1777.

Contact Information

Primary practice address
3397 Delta Waters Rd Medford OR 97504-5852
Phone: (541) 772-1777
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Health Information 247000000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oregon

Profile Details

NPI number 1942832175
LBN Legal business name Beaver, Jennifer Lynn
Credentials CADC-R
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2020
Last updated Feb 26th, 2022 - about 3 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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