Humphrey, Jeffrey S

Humphrey, Jeffrey S is an individual health care provider with primary practice located at 1000 Se Uglow Ave , Dallas OR 97338-2645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Humphrey, Jeffrey S can be contacted via phone (503) 623-8376.

Contact Information

Primary practice address
1000 Se Uglow Ave Dallas OR 97338-2645
Phone: (503) 623-8376
Fax: (503) 623-5293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO15134 Oregon

Profile Details

NPI number 1740253103
LBN Legal business name Humphrey, Jeffrey S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jan 18th, 2013 - about 13 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 1740253103 NPPES
Oregon Other 1164780060 LOCATION NPI
Oregon MEDICAID 149096 LOCATION NPI

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