Search › Idaho › 207Q00000X
Jennifer Backman, DO
NPI 1306862388 · on the registry since 2006 · sole proprietor
Practice
- Address
- 25 Jacobs Gulch Rd
Kellogg, ID 83837 - Phone
- (208) 784-1221
- Fax
- (208) 784-0961
- Organisation at this address
- Shoshone Medical Center
Shoshone Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 1425 Beavercreek Rd, Oregon City, OR
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- OR, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho