Vallery, Jennipher K.

Vallery, Jennipher K. is an individual health care provider with primary practice located at 1840 Portland Rd , Newberg OR 97132-1847. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Vallery, Jennipher K. can be contacted via phone (888) 227-3312.

Contact Information

Primary practice address
1840 Portland Rd Newberg OR 97132-1847
Phone: (888) 227-3312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-02887 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1269 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA165170 Oregon

Profile Details

NPI number 1649562679
LBN Legal business name Vallery, Jennipher K.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2011
Last updated Sep 24th, 2020 - about 4 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 1649562679 NPPES
Oregon MEDICAID 500670807
Oregon MEDICAID 1649562679

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