Individual
JILLIAN NETLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6507 LIPSCOMB ST SE, SALEM, OR 97317-9513
(503) 930-4828
Mailing address
6507 LIPSCOMB ST SE, SALEM, OR 97317-9513
(503) 930-4828
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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