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NPI Code Detail

MEDICARE: ALLISON MARIE PURVINE APRN, FNP-C

MEDICARE: ALLISON MARIE PURVINE APRN, FNP-C
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
1207Q00000XFamily Medicine Physician10059455OR
2261QU0200XUrgent Care Clinic/Center10059455OR

General Provider Information

NPI Number : 1609710474
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON MARIE PURVINE APRN, FNP-C
Provider Business Mailing Address
First Line : 1002 BELLEVUE ST SE
Second Line :
City : SALEM
State : OR
Zip : 97301-4006
Country : US
Telephone Number : 503-814-5554
Fax Number :
Provider Business Practice Location Address
First Line : 1002 BELLEVUE ST SE
Second Line :
City : SALEM
State : OR
Zip : 97301-4006
Country : US
Telephone Number : 503-814-5554
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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