Provider Demographics
NPI:1336319912
Name:TURNER, JILL RH (ND)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:RH
Last Name:TURNER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:JILL
Other - Middle Name:RH
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:2428 NE DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-6020
Mailing Address - Country:US
Mailing Address - Phone:503-766-3211
Mailing Address - Fax:971-293-4132
Practice Address - Street 1:2428 NE DIVISION ST
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-6020
Practice Address - Country:US
Practice Address - Phone:503-766-3211
Practice Address - Fax:971-293-4132
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1586175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR279223Medicaid