Childress, Jennifer T

Childress, Jennifer T is an sole proprietor health care provider with primary practice located at 40660 Northfork Rd , Nehalem OR 97131-9511. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Childress, Jennifer T can be contacted via phone (503) 368-5886.

Contact Information

Primary practice address
40660 Northfork Rd Nehalem OR 97131-9511
Phone: (503) 368-5886
Fax: (503) 368-5886
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X DEM-LD-10143021 Oregon

Profile Details

NPI number 1134438039
LBN Legal business name Childress, Jennifer T
Credentials CPM LDM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2010
Last updated Jul 18th, 2011 - about 15 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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