Provider Demographics
NPI:1912191867
Name:THE JOB LADY, INC.
Entity Type:Organization
Organization Name:THE JOB LADY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMBERLY
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:RUCK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CRC
Authorized Official - Phone:503-435-1972
Mailing Address - Street 1:1841 NW SNOWBERRY ST
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-6697
Mailing Address - Country:US
Mailing Address - Phone:503-435-1972
Mailing Address - Fax:503-217-6237
Practice Address - Street 1:1841 NW SNOWBERRY ST
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-6697
Practice Address - Country:US
Practice Address - Phone:503-435-1972
Practice Address - Fax:503-217-6237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management