IndividualActive
Abdoulie Jallow, PMHNP-BC
NPI 1720409394 · Psychiatric/Mental Health Nurse Practitioner · Salem, OR
Provider details
- NPI number
- 1720409394
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 201504320RN (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
1880 Lancaster Dr Ne Ste 110
Salem, OR 97305-1065
Phone: (503) 395-8614
Fax: (971) 231-0184
Approximate (ZIP-level) locationGet directions
Mailing address
1880 Lancaster Dr Ne Ste 110
Salem, OR 97305-1065
Registry dates
- Enumerated
- 2013-12-26
- Last updated
- 2024-02-29
- Certified
- 2024-02-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.