Healthcare Provider Details

I. General information

NPI: 1790949295
Provider Name (Legal Business Name): JILL TURNER ND PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2008
Last Update Date: 05/30/2024
Certification Date: 05/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2428 NE DIVISION ST
GRESHAM OR
97030-6020
US

IV. Provider business mailing address

2428 NE DIVISION ST
GRESHAM OR
97030-6020
US

V. Phone/Fax

Practice location:
  • Phone: 503-766-3211
  • Fax: 971-293-4132
Mailing address:
  • Phone: 503-766-3211
  • Fax: 971-293-4132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number1586
License Number StateOR

VIII. Authorized Official

Name: DR. JILL TURNER
Title or Position: PHYSICIAN
Credential: ND
Phone: 503-766-3211