NPI 1689053589

Jenna Graven

Organisation Exclusive Provider Organization Medford, OR

Practice location

Address: 2246 Aloha Ave, Medford, OR 97504-6938
Phone: (541) 292-6848

Authorised official

Name: Jenna Lee Graven
Title: Owner/Massage Therapist
Phone: (541) 292-6848

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 18121 (OR)

Other Exclusive Provider Organization providers in Oregon →

Registry record

NPI: 1689053589
Entity type: Organization
NPI issued: 25 May 2015
Record last updated: 25 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.