MEDICARE: SALLY JEAN BEGGS DNP

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
1	363LF0000X	Family Nurse Practitioner	201904919NP-PP	OR

General Provider Information

NPI Number	:	1558916049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALLY JEAN BEGGS DNP

Provider Business Mailing Address
First Line	:	PO BOX 1193
Second Line	:
City	:	CORVALLIS
State	:	OR
Zip	:	97339-1193
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1803 14TH AVE SE
Second Line	:
City	:	ALBANY
State	:	OR
Zip	:	97322-8502
Country	:	US
Telephone Number	:	541-704-7670
Fax Number	:	541-615-7836

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2019
Last Update Date	:	08/12/2025

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