Ryan Christian Jennings-Tidwell

NPI #1417622069 in Troutdale, Oregon

Provider Information

NPI Number
1417622069
Entity Type
Individual
Name
Ryan Christian Jennings-Tidwell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
In Home Supportive Care
Enumeration Date
Aug 14, 2021
Last Updated
Aug 14, 2021

Practice Location

Address
1042 SE 30TH PL
State
Oregon
ZIP Code
97060-9456
Phone
(503) 618-9668

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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