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Contact Information

JACQUELYN CORDERO
715 SW RAMSEY AVE
GRANTS PASS, OR97527-5500
 Phone: 541-956-4943
 Fax: 541-956-5463
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for JACQUELYN CORDERO · (Female)

NPI # 1255714325
Status Active
Credentials
Entity Individual
Enumeration date 07/07/2015
Last updated 07/07/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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