NPI 1578014072

Jessica Bennett

Practitioner Intermediate Emergency Medical Technician Cascade Locks, OR

Practice location

Address: 25 SE Wanapa St, Cascade Locks, OR 97014-7002
Phone: (541) 374-8510
Mailing address: PO Box 308, Cascade Locks, OR 97014-0308

Registered specialties

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence 133396 (OR)

Other Emergency Medical Technician, Intermediate providers in Oregon →

Registry record

NPI: 1578014072
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2016
Record last updated: 19 Oct 2016

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.