Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LEIGH BORMUTH, MS
ActiveCommunity Health Worker · ROSEBURG, OR
Registration Details
- NPI Number
- 1568729820
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 11, 2012 (14.030537967745 yrs)
- Last Updated
- Apr 11, 2012
Practice Information
- Address
-
621 W MADRONE STROSEBURG, OR, 974703090Browse OR providers · Browse ZIP 97470
- Phone
- 5414403655
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in ROSEBURG, OR
| Name | Credential | NPI |
|---|---|---|
| LESLIE BENNETT | — | 1639321409 |
| JOSEPH RYAN CAVANER | M. ED. | 1699039651 |
| JESSICA ELLIOTT | — | 1083978092 |
| JENNIFER DENLEY | M. ED. | 1376807388 |
| NICHOLAS GARCIA | — | 1164786174 |
| DARCI LEE SHIVERS | QMHA | 1063776961 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.