Individual
JOEL EBEN DUPUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1655 LIBERTY ST SE, SALEM, OR 97302-4347
(541) 556-6743
(530) 339-7557
Mailing address
1655 LIBERTY ST SE, SALEM, OR 97302-4347
(541) 556-6743
(530) 339-7557
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
201141589RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10023447
OR
Other
Enumeration date
03/14/2022
Last updated
03/14/2024
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