Means, Jennifer Dale
Means, Jennifer Dale is an sole proprietor health care provider with primary practice located at 4970 Sw Main Ave Suite 200, Beaverton OR 97005. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Other Service Providers / Naturopath. Other Service Providers / Naturopath is her primary health care specialty. Means, Jennifer Dale can be contacted via phone (503) 641-6400.Contact Information
Primary practice address
4970 Sw Main Ave Suite 200
Beaverton OR 97005
Phone: (503) 641-6400
Fax: (503) 641-6401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | ACU0300 | Oregon |
| Other Service Providers / Naturopath | 175F00000X | 857 | Oregon |
Profile Details
| NPI number | 1174589279 |
|---|---|
| LBN Legal business name | Means, Jennifer Dale |
| Credentials | ND, LAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jul 24th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174589279 | NPPES |
| Oregon | MEDICAID | 226292 |
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