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NPI Code Detail

MEDICARE: JD HEALTH AND WELLNESS CENTER, INC

MEDICARE: JD HEALTH AND WELLNESS CENTER, INC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
21041C0700XClinical Social Worker
3111N00000XChiropractor
4111NR0200XRadiology Chiropractor
5171100000XAcupuncturist
6225700000XMassage Therapist
7363L00000XNurse Practitioner
8363LF0000XFamily Nurse Practitioner
9175F00000XNaturopathOR

General Provider Information

NPI Number : 1689918161
Entity Type Code : Organization
Provider Name (Legal Business Name) : JD HEALTH AND WELLNESS CENTER, INC
Provider Business Mailing Address
First Line : 608 LANCASTER DR SE
Second Line :
City : SALEM
State : OR
Zip : 97317-5643
Country : US
Telephone Number : 503-877-1995
Fax Number :
Provider Business Practice Location Address
First Line : 608 LANCASTER DR SE
Second Line :
City : SALEM
State : OR
Zip : 97317-5643
Country : US
Telephone Number : 503-877-1995
Fax Number :
Authorized Official
Title or Position : OWNER/ADMINISTRATOR
Name : MRS. FELICITY E DAVIS
Credential : OWNER
Telephone Number : 503-877-1995
Provider Enumeration Date : 11/21/2012
Last Update Date : 03/18/2025

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Directions to “JD HEALTH AND WELLNESS CENTER, INC ” Practice Location

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