Individual
ABDOULIE JALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1880 LANCASTER DR NE STE 110, SALEM, OR 97305-1065
(503) 395-8614
(971) 231-0184
Mailing address
1880 LANCASTER DR NE STE 110, SALEM, OR 97305-1065
(503) 395-8614
(971) 231-0184
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201504320RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202103126NP-PP
OR
Other
Enumeration date
12/26/2013
Last updated
02/29/2024
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