Provider Demographics
NPI:1053477166
Name:BIRCHARD, JANE S (ND)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:S
Last Name:BIRCHARD
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 W COREY CT
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97470-3078
Mailing Address - Country:US
Mailing Address - Phone:541-673-2319
Mailing Address - Fax:541-957-8833
Practice Address - Street 1:451 W COREY CT
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97470-3078
Practice Address - Country:US
Practice Address - Phone:541-673-2319
Practice Address - Fax:541-957-8833
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1175175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath