Individual
JORDAN GILLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
531 N HIGHWAY 101 STE A, DEPOE BAY, OR 97341-9572
(541) 765-3265
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
257310
TN
363L00000X
Nurse Practitioner
Primary
10022974
OR
363LF0000X
Family Nurse Practitioner
33026
TN
Other
Enumeration date
01/13/2022
Last updated
10/28/2024
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