Joy Audrey Gummow, FNP-C
Nurse Practitioner, Family in Salem, OR. Individual provider (NPI-1).
NPI number1619709441
StatusActive
Last updated in NPPESApr 1, 2026
Details
- NPI
- 1619709441
- Entity type
- Individual (NPI-1)
- Name
- Joy Audrey Gummow
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2024
- Certification date
- Apr 1, 2026
- Last updated
- Apr 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 10030186 | OR | Yes |
| 207Q00000X | Family Medicine | 10030186 | OR |
Practice location
1049 Edgewater St NwSalem, OR 97304-4046
Phone 503-814-3343
Mailing address
Po Box 3417Portland, OR 97208-3417
Phone 503-413-3900
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