Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD20918 | OR |
N | 111NI0900X | Internist | MD20918 | OR |
Y | 207RH0002X | Hospice and Palliative Medicine | MD20918 | OR |
NPI | 1134228950 |
---|---|
Provider Name | Jennifer C Neahring |
First Address | Salem, OR 97301-3975 |
Second Address | Bend, OR 97701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 17/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
151234 | (05) | OR |
F17767 | (02) | OR |