Individual
JEAN LANGKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1515 VILLAGE DR, COTTAGE GROVE, OR 97424-9700
(541) 942-6610
(541) 942-6750
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
(541) 984-4301
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
094006180N3
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062463
—
OR
Enumeration date
06/22/2006
Last updated
03/11/2010
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