Organization
HEART AND SOUL WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL COHEN DNP FNP (FNP)
(503) 428-2498
Entity
Organization
Contact information
Practice address
1025 2ND ST NW, SALEM, OR 97304-4001
(503) 689-1381
Mailing address
1025 2ND ST NW, SALEM, OR 97304-4001
(503) 689-1381
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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