Provider Demographics
NPI:1932273885
Name:O'LEARY, JENNIFER LEIGH (ND)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LEIGH
Last Name:O'LEARY
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:LEIGH
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:P.O. BOX 22559
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97269
Mailing Address - Country:US
Mailing Address - Phone:503-387-3348
Mailing Address - Fax:503-387-3347
Practice Address - Street 1:15645 SE 114TH AVE, SUITE 102
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015
Practice Address - Country:US
Practice Address - Phone:503-387-3348
Practice Address - Fax:503-387-3347
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1468175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath