Individual
JEANETTE C PAYSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1620 E 12TH ST, THE DALLES, OR 97058
(541) 296-9151
(541) 296-9156
Mailing address
PO BOX 1520, THE DALLES, OR 97058
(970) 846-9808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD26435
OR
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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