Individual
JENNIE INES ALTAMIRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 EDGEWATER ST NW, SALEM, OR 97304-4049
(503) 378-7526
(503) 480-1611
Mailing address
1233 EDGEWATER ST NW, SALEM, OR 97304-4049
(503) 378-7526
(503) 480-1611
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
04/17/2025
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