Healthcare Provider Details

I. General information

NPI: 1528157997
Provider Name (Legal Business Name): JEANNE SAVAGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 03/22/2021
Certification Date: 03/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 MOUNT HOOD AVE
WOODBURN OR
97071-9060
US

IV. Provider business mailing address

1175 MOUNT HOOD AVE
WOODBURN OR
97071-9060
US

V. Phone/Fax

Practice location:
  • Phone: 503-982-2000
  • Fax: 503-982-0660
Mailing address:
  • Phone: 503-982-2000
  • Fax: 503-982-0660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD24402
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: