Raymer, Jordan Marie

Raymer, Jordan Marie is an sole proprietor health care provider with primary practice located at 330 9Th St , Florence OR 97439-9470. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Raymer, Jordan Marie can be contacted via phone (541) 997-2820.

Contact Information

Primary practice address
330 9Th St Florence OR 97439-9470
Phone: (541) 997-2820
Fax: (541) 997-7197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 128828 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X MD161898 Oregon

Profile Details

NPI number 1003071580
LBN Legal business name Raymer, Jordan Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2008
Last updated Dec 31st, 2018 - about 8 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 1003071580 NPPES
Oregon MEDICAID 500659458
Oregon MEDICAID 2094441

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