Search › Oregon › 363LF0000X
Jennifer Blackmon
NPI 1417583642 · on the registry since 2020
Practice
- Address
- 1325 Ne 7th St
Grants Pass, OR 97526 - Phone
- (541) 460-5331
- Fax
- (541) 460-5165
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- OR, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon