Christenson, Jennifer Ruth

Christenson, Jennifer Ruth is an individual health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-2099. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is her primary health care specialty. Christenson, Jennifer Ruth can be contacted via phone (541) 267-5151.

Contact Information

Primary practice address
1900 Woodland Dr Coos Bay OR 97420-2099
Phone: (541) 267-5151
Fax: (407) 425-5203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X OS15571 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X DO181810 Oregon

Profile Details

NPI number 1801156161
LBN Legal business name Christenson, Jennifer Ruth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2012
Last updated Jan 18th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801156161 NPPES
Oregon MEDICAID 500721760

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