| Dr Jenae Ulrich | |
|
1901 Garden Ave Ste 103 Eugene OR 97403-1934 | |
| (541) 203-0984 | |
| (541) 315-4835 |
| Full Name | Dr Jenae Ulrich |
|---|---|
| Speciality | Psychologist |
| Location | 1901 Garden Ave Ste 103, Eugene, Oregon |
| Authorized Official Name and Position | Jenae Ulrich (SELF, OWNER, PSYCHOLOGIST) |
| Authorized Official Contact | 5412030984 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jenae Ulrich 1901 Garden Ave Ste 103 Eugene OR 97403-1934 Ph: (541) 203-0984 | Dr Jenae Ulrich 1901 Garden Ave Ste 103 Eugene OR 97403-1934 Ph: (541) 203-0984 |
| NPI Number | 1326758079 |
|---|---|
| Provider Enumeration Date | 12/02/2022 |
| Last Update Date | 05/17/2023 |
| Certification Date | 05/17/2023 |
| Medicare PECOS PAC ID | 5092180463 |
|---|---|
| Medicare Enrollment ID | O20230417002898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326758079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jenae Ulrich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801174305 PECOS PAC ID: 2961705454 Enrollment ID: I20160115001006 |
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