Individual
COLEEN JU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
347 FAIRVIEW ST, SILVERTON, OR 97381-1916
(503) 873-5667
Mailing address
PO BOX 3417, PORTLAND, OR 97208-3417
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10014244
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/08/2020
Last updated
02/05/2026
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