Becker, Jeremy R

Becker, Jeremy R is an individual health care provider with primary practice located at 501 N Graham St. Suite 201, Portland OR 97227-1682. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Becker, Jeremy R can be contacted via phone (503) 413-4488.

Contact Information

Primary practice address
501 N Graham St. Suite 201 Portland OR 97227-1682
Phone: (503) 413-4488
Fax: (503) 413-1812
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 82-163 New Mexico

Profile Details

NPI number 1598735755
LBN Legal business name Becker, Jeremy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Sep 11th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598735755 NPPES
New Mexico MEDICAID 69988234

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