Individual
MR. CHRIS MCKEOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
675 ORCHARD HEIGHTS RD NW STE 120, SALEM, OR 97304-3042
(815) 499-4742
Mailing address
675 ORCHARD HEIGHTS RD NW STE 120, SALEM, OR 97304-3042
(815) 499-4742
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209022602
IL
363LF0000X
Family Nurse Practitioner
Primary
202107301NP-PP
OR
Other
Enumeration date
03/05/2021
Last updated
12/09/2022
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