Brock, Jennifer B

Brock, Jennifer B is an individual health care provider with primary practice located at 71840 Meadow Loop , Boardman OR 97818-9668. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Brock, Jennifer B can be contacted via phone (541) 303-4658.

Contact Information

Primary practice address
71840 Meadow Loop Boardman OR 97818-9668
Phone: (541) 303-4658
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X THW000004247 Oregon

Profile Details

NPI number 1467197509
LBN Legal business name Brock, Jennifer B
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2022
Last updated May 3rd, 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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