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Individual

LINDA CELLA BIRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
780 COMMERCIAL ST SE STE 103, SALEM, OR 97301-3465
(503) 586-8291
(503) 689-8076
Mailing address
PO BOX 5485, SALEM, OR 97304-0485
(503) 586-8291
(503) 689-8076

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
099006422RN
OR
363LF0000X
Family Nurse Practitioner
Primary
099006422N1
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
210764
OR
Enumeration date
02/15/2007
Last updated
10/07/2021
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