Bormuth, Jennifer Leigh

Bormuth, Jennifer Leigh is an individual health care provider with primary practice located at 621 W Madrone St , Roseburg OR 97470-3090. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Bormuth, Jennifer Leigh can be contacted via phone (541) 440-3655.

Contact Information

Primary practice address
621 W Madrone St Roseburg OR 97470-3090
Phone: (541) 440-3655
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1568729820
LBN Legal business name Bormuth, Jennifer Leigh
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2012
Last updated Apr 11th, 2012 - about 14 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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