Individual
JANE ELLEN BIRDSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
966 12TH ST SE STE 130, SALEM, OR 97302-2860
(503) 814-4400
Mailing address
890 OAK ST SE BLDG B, SALEM, OR 97301-3905
(503) 814-3217
(503) 814-3898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201708230NP-PP
OR
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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