Jenna Graven

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

18121 Issued in OR

Legal business name

JENNA GRAVEN

Practice address

2246 Aloha Ave
Medford, OR 97504-6938

Phone

(541) 292-6848

NPI assigned

May 25, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jenna Lee Graven, LMT

Title

Owner/Massage Therapist

Phone

(541) 292-6848

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432512000000",
    "number": "1689053589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 ALOHA AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2246 ALOHA AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046938",
            "telephone_number": "541-292-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNA GRAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-25",
        "last_updated": "2015-05-25",
        "status": "A",
        "authorized_official_last_name": "GRAVEN",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "541-292-6848",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OR",
            "license": "18121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Medford, OR
• Providers in Medford, OR by specialty
• Exclusive Provider Organization in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.