Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Abdoulie Jallow, PMHNP-BC

Individual provider Registered Nurse · NPI 1720409394

Abdoulie Jallow, PMHNP-BC is a Nurse Practitioner in Salem, Oregon. Qualified in 2020, 6 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2013
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1880 Lancaster Dr NE Ste 110
Salem, OR 97305-1065
Phone: (503) 395-8614
Fax: (971) 231-0184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 202103126NP-PP (OR)
Registered Nurse Taxonomy 163W00000X · Licence 201504320RN (OR)

Record details

NPI number1720409394
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedDecember 26, 2013
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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