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Individual

MR. JASON DANIEL EMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1900 WOODLAND DR., COOS BAY, OR 97420-8808
(541) 267-5151
Mailing address
PO BOX 952, COOS BAY, OR 97420-0213
(541) 808-1263

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202111391NP-PP
OR
363L00000X
Nurse Practitioner
PENDING
OR

Other

Enumeration date
10/03/2021
Last updated
10/15/2021
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