Individual
JILL MIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
435 LANCASTER DR NE, SALEM, OR 97301-4729
(503) 585-6388
Mailing address
435 LANCASTER DR NE, SALEM, OR 97301-4729
(503) 585-6388
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60775644
WA
Other
Enumeration date
08/24/2017
Last updated
02/01/2021
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