Troth, Jennifer Elaine

Troth, Jennifer Elaine is an individual health care provider with primary practice located at 404 Ne Penn Ave , Bend OR 97701-4264. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Troth, Jennifer Elaine can be contacted via phone (541) 318-7041.

Contact Information

Primary practice address
404 Ne Penn Ave Bend OR 97701-4264
Phone: (541) 318-7041
Fax: (541) 388-3711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4275 Oregon

Profile Details

NPI number 1467434597
LBN Legal business name Troth, Jennifer Elaine
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jul 8th, 2007 - about 19 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 1467434597 NPPES
Oregon MEDICAID 182423
Oregon Other H254804

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