Individual
JACQUELINE NIEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 DAVCOR ST SE, SALEM, OR 97302-1595
(503) 588-5858
(503) 361-2688
Mailing address
2035 DAVCOR ST SE, SALEM, OR 97302-1595
(503) 588-5858
(503) 361-2688
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
096007262RN
OR
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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