Conklin, Jamie David
Conklin, Jamie David is an individual health care provider with primary practice located at 2500 Ne Neff Rd , Bend OR 97701-6015. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Conklin, Jamie David can be contacted via phone (541) 706-7715.Contact Information
Primary practice address
2500 Ne Neff Rd
Bend OR 97701-6015
Phone: (541) 706-7715
Fax: (541) 598-3492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD153265 | Oregon |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 6353674-1205 | Utah |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD60807243 | Washington |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD153265 | Oregon |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD153265 | Oregon |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01083135A | Indiana |
Profile Details
| NPI number | 1467640961 |
|---|---|
| LBN Legal business name | Conklin, Jamie David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2007 |
| Last updated | Nov 10th, 2021 - about 3 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 | 1467640961 | NPPES |
| Oregon | MEDICAID | 500641194 |
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