-- SIRI JACKMAN -- NMNP-PP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Obstetrics & Gynecology
Provider Information
- NPI Number
1457334310- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NMNP-PP
- Status
- Active
Contact & Location
- Address
- 1219 SW 4TH AVE SUITE 2, ONTARIO, OR, 979144516
- Phone
- (541) 889-2229
- Fax
- (541) 889-4378
Specialties & Taxonomies
Nurse Practitioner, Obstetrics & Gynecology
Primary License: OR #077038713N5