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1366954794
JANE ELLEN BIRDSONG
SALEM, OR
NPI
1366954794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR 201708230NP-PP)
Enumeration Date
2017-10-25
Last Update Date
2017-10-25
Business Address
JANE ELLEN BIRDSONG FNP-C
966 12TH ST SE STE 130
SALEM, OR 97302-2860
Phone number: 503-814-4400
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Mailing Address
JANE ELLEN BIRDSONG FNP-C
890 OAK ST SE BLDG B
SALEM, OR 97301-3905
Phone number: 503-814-3217
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