Individual
MS. JEANNIE LYNN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4590 SWEGLE RD NE, SALEM, OR 97301-2012
(503) 371-6739
(503) 763-2419
Mailing address
4588 SWEGLE RD NE, SALEM, OR 97301-2012
(503) 371-6739
(503) 763-2419
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098051
—
OR
Enumeration date
01/11/2007
Last updated
07/09/2007
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