Individual
JANET ARLENE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5300 RIVER RD N, KEIZER, OR 97303-4428
(503) 877-6539
Mailing address
3682 SILVERSTONE CT NE, SALEM, OR 97305-3059
(503) 877-6539
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200150137
OR
363LW0102X
Women's Health Nurse Practitioner
200150137
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500652685
—
OR
Enumeration date
12/07/2009
Last updated
05/13/2014
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