Provider Demographics
NPI:1871924761
Name:DENNY, JULIE
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:DENNY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 SE 15TH ST
Mailing Address - Street 2:PO BOX 1325
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-3254
Mailing Address - Country:US
Mailing Address - Phone:541-276-5433
Mailing Address - Fax:541-276-8605
Practice Address - Street 1:816 SE 15TH ST
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-3254
Practice Address - Country:US
Practice Address - Phone:541-276-5433
Practice Address - Fax:541-276-8605
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator