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General NPI Number Information
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NPI Number | 1255996633
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Entity Type | Organization
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Legal Business Name | JENNIFER POINDEXTER ND LLC
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Dates
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Enumeration Date | 05/01/2019
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Last Update Date | 04/13/2025
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Provider Practice Location Address
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Address Line | 209 W C ST
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City | SILVERTON
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State | OR
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Zip | 97381-1951
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Country | US
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Telephone | 503-874-1820
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Fax | 971-332-1295
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Provider Business Mailing Address
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Address Line | PO BOX 1227
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City | SILVERTON
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State | OR
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Zip | 97381-0057
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Country | US
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Telephone | 503-874-1820
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Fax | 971-332-1295
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Authorized Official
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Title or Position | PHYSICIAN/C0-OWNER
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Name | DR. JENNIFER POINDEXTER
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Credential | ND
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Telephone | 503-874-1820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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