| Jd Health And Wellness Center | |
|
608 Lancaster Dr Se Salem OR 97317-5643 | |
| (503) 877-1995 | |
| Not Available |
| Full Name | Jd Health And Wellness Center |
|---|---|
| Speciality | Naturopath |
| Location | 608 Lancaster Dr Se, Salem, Oregon |
| Authorized Official Name and Position | Felicity E Davis (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 5038771995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jd Health And Wellness Center 608 Lancaster Dr Se Salem OR 97317-5643 Ph: (503) 877-1995 | Jd Health And Wellness Center 608 Lancaster Dr Se Salem OR 97317-5643 Ph: (503) 877-1995 |
| NPI Number | 1689918161 |
|---|---|
| Provider Enumeration Date | 11/21/2012 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Medicare PECOS PAC ID | 3274767173 |
|---|---|
| Medicare Enrollment ID | O20131008001846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689918161 | NPI | - | NPPES |
| Provider Name | Josie Cowburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346613429 PECOS PAC ID: 1052693587 Enrollment ID: I20170118001923 |
| Provider Name | Megan M Monty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952645392 PECOS PAC ID: 9133467855 Enrollment ID: I20190205001294 |
| Provider Name | Eric Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790990224 PECOS PAC ID: 0547503609 Enrollment ID: I20190514000976 |
| Provider Name | Sarah J Soric |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093176208 PECOS PAC ID: 4789011917 Enrollment ID: I20200227000786 |
| Provider Name | Patty J Koker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053887109 PECOS PAC ID: 4183018971 Enrollment ID: I20220221000791 |
| Provider Name | Christina M Cano-young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285269563 PECOS PAC ID: 8022482710 Enrollment ID: I20230320002599 |
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