Individual
DR. ABIGAIL JO BISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
1205 WALLACE RD NW, SALEM, OR 97304-3007
(503) 371-1558
Mailing address
28083 EWELTY WAY, CORVALLIS, OR 97330
(541) 666-8304
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4122
OR
207Q00000X
Family Medicine Physician
4122
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4122
STATE LICENSE
OR
Enumeration date
11/24/2017
Last updated
02/20/2020
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