Green, Jennifer Ruth

Green, Jennifer Ruth is an sole proprietor health care provider with primary practice located at 140 South Holly Street , Medford OR 97501. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Green, Jennifer Ruth can be contacted via phone (541) 774-8200.

Contact Information

Primary practice address
140 South Holly Street Medford OR 97501
Phone: (541) 774-8200
Fax: (541) 774-7964
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1679987507
LBN Legal business name Green, Jennifer Ruth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2014
Last updated Dec 29th, 2014 - about 12 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.

Request for update

Popular Providers