Brake, Jessica L

Brake, Jessica L is an individual health care provider with primary practice located at 2233 W Harvard Ave , Roseburg OR 97471-2550. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Brake, Jessica L can be contacted via phone (541) 670-2264.

Contact Information

Primary practice address
2233 W Harvard Ave Roseburg OR 97471-2550
Phone: (541) 670-2264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C3280 Oregon

Profile Details

NPI number 1235412735
LBN Legal business name Brake, Jessica L
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2011
Last updated Oct 19th, 2022 - about 2 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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