Schmidt, Jennifer Jo

Schmidt, Jennifer Jo is an individual health care provider with primary practice located at 250 Nw 1St St Ste 110 , Corvallis OR 97330-4836. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Schmidt, Jennifer Jo can be contacted via phone (458) 217-3040.

Contact Information

Primary practice address
250 Nw 1St St Ste 110 Corvallis OR 97330-4836
Phone: (458) 217-3040
Fax: (855) 962-2388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 105361 Oregon

Profile Details

NPI number 1700554003
LBN Legal business name Schmidt, Jennifer Jo
Credentials CHW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2021
Last updated Sep 1st, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700554003 NPPES
Oregon MEDICAID 105361

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