Frost, Jared R

Frost, Jared R is an individual health care provider with primary practice located at 2200 Bryant Williams Dr Suite 1, Klamath Falls OR 97601-1120. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Frost, Jared R can be contacted via phone (541) 884-7746.

Contact Information

Primary practice address
2200 Bryant Williams Dr Suite 1 Klamath Falls OR 97601-1120
Phone: (541) 884-7746
Fax: (541) 274-5705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA169676 Oregon

Profile Details

NPI number 1982000436
LBN Legal business name Frost, Jared R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2014
Last updated Jun 19th, 2024 - about 2 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 1982000436 NPPES
Oregon MEDICAID 500679872

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