Individual
MR. JASON MATTHEW BISCHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1160 WALLACE RD NW, SALEM, OR 97304-3116
(503) 361-5400
Mailing address
2111 MOUSEBIRD AVE NW, SALEM, OR 97304-2022
(503) 361-5400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN120573
AZ
363LF0000X
Family Nurse Practitioner
Primary
201608786NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP1656
AZ
Other
Enumeration date
06/17/2006
Last updated
07/22/2022
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