Jaques, Mckenna Rose

Jaques, Mckenna Rose is an individual health care provider with primary practice located at 1525 Sw Shirley Ann Dr , Mcminnville OR 97128-7665. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jaques, Mckenna Rose can be contacted via phone (503) 472-4055.

Contact Information

Primary practice address
1525 Sw Shirley Ann Dr Mcminnville OR 97128-7665
Phone: (503) 472-4055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1396282174
LBN Legal business name Jaques, Mckenna Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2017
Last updated Jan 31st, 2017 - about 9 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