Individual
JACQUELINE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 BIRCH AVE, COTTAGE GROVE, OR 97424-1416
(541) 942-3939
Mailing address
492 E 13TH AVE STE 205, EUGENE, OR 97401-4250
(541) 513-2625
(541) 505-9042
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201500067NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201500067NP-PP
WA
Other
Enumeration date
12/27/2014
Last updated
01/16/2024
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