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NPI 1861850661

IndividualActive

Janette Banasiak, 762296

NPI 1861850661 · Contractor · Monmouth, OR

Provider details

NPI number: 1861850661
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Credential: 762296
Sex: Female
Sole proprietor: Yes
License: 762296 (OR)

Practice location

422 Heffley St S

Monmouth, OR 97361-9728

Phone: (503) 983-8077

More OR providers

Mailing address

422 Heffley St S

Monmouth, OR 97361-9728

Registry dates

Enumerated: 2016-02-08
Last updated: 2016-02-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Janette Banasiak, 762296 — NPI 1861850661, Monmouth, OR | NPI Central