Individual
MS. BRITTANY JANELLE DEYO-BUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2020 CAPITOL ST NE, SALEM, OR 97301-0644
(503) 399-2424
(503) 375-7429
Mailing address
PO BOX 8100, SALEM, OR 97303-0900
(503) 399-2424
(503) 375-7429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD168555
OR
390200000X
Student in an Organized Health Care Education/Training Program
12334198
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500676405
—
OR
Enumeration date
04/26/2011
Last updated
10/15/2014
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