Individual
GINGER A DENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2525 12TH ST SE STE 260, SALEM, OR 97302
(503) 363-6520
(503) 967-1472
Mailing address
2525 12TH ST SE STE 260, SALEM, OR 97302-2153
(503) 363-6520
(503) 967-1472
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201405164NP-PP
OR
363LF0000X
Family Nurse Practitioner
30023.1143
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09015685
BLUE CROSS BLUE SHIELD
IL
05
—
500678001
—
OR
01
—
P00437189
RAIL ROAD MEDICARE PIN
IL
Enumeration date
09/20/2006
Last updated
06/19/2018
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