J Beverly Enterprises, LLC
NPI #1134993058 in Springfield, Oregon
Provider Information
- NPI Number
- 1134993058
- Entity Type
- Organization
- Organization Name
- J Beverly Enterprises, LLC
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Nov 10, 2023
- Last Updated
- Nov 10, 2023
Practice Location
- Address
- 1110 18TH ST STE 6
- City
- Springfield
- State
- Oregon
- ZIP Code
- 97477-4200
- Phone
- (541) 517-3970
Authorized Official
- Name
- JAMIE BEVERLY
- Title
- OWNER
- Phone
- (541) 517-3970
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
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