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NPI Code Detail

MEDICARE: JING WEI FNP

MEDICARE: JING WEI FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner201407294NP-PPOR
2163W00000XRegistered Nurse1-129780AL

General Provider Information

NPI Number : 1093114373
Entity Type Code : Individual
Provider Name (Legal Business Name) : JING WEI FNP
Provider Business Mailing Address
First Line : 37400 BELL ST
Second Line :
City : SANDY
State : OR
Zip : 97055-7868
Country : US
Telephone Number : 503-668-3483
Fax Number :
Provider Business Practice Location Address
First Line : 37400 BELL ST
Second Line :
City : SANDY
State : OR
Zip : 97055-7868
Country : US
Telephone Number : 503-668-3493
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2014
Last Update Date : 10/13/2021

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