Roark, Jennifer Deboer

Roark, Jennifer Deboer is an individual health care provider with primary practice located at 800 Sw 13Th Ave , Portland OR 97205. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Roark, Jennifer Deboer can be contacted via phone (503) 221-0161.

Contact Information

Primary practice address
800 Sw 13Th Ave Portland OR 97205
Phone: (503) 221-0161
Fax: (503) 221-4451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 733 Oregon

Profile Details

NPI number 1619008190
LBN Legal business name Roark, Jennifer Deboer
Credentials RD LD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 17 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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