Sandefur, Jere
Sandefur, Jere is an individual health care provider with primary practice located at 2825 E Barnett Rd , Medford OR 97504-8332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Sandefur, Jere can be contacted via phone (541) 789-4263.Contact Information
Primary practice address
2825 E Barnett Rd
Medford OR 97504-8332
Phone: (541) 789-4263
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | MD16513 | Oregon |
Profile Details
| NPI number | 1790744928 |
|---|---|
| LBN Legal business name | Sandefur, Jere |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Aug 5th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790744928 | NPPES |
| Oregon | Other | MD16513 | OREGON STATE LICENSE |
| Oregon | MEDICAID | 014279 | OREGON STATE LICENSE |
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