Gerry, Jeffrey Ira

Gerry, Jeffrey Ira is an sole proprietor health care provider with primary practice located at 9155 Sw Barnes Rd Ste 204, Portland OR 97225-6625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Gerry, Jeffrey Ira can be contacted via phone (503) 297-7463.

Contact Information

Primary practice address
9155 Sw Barnes Rd Ste 204 Portland OR 97225-6625
Phone: (503) 297-7463
Fax: (503) 297-8835
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD16613 Oregon

Profile Details

NPI number 1396727400
LBN Legal business name Gerry, Jeffrey Ira
Credentials MDPHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated Jan 13th, 2011 - 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 1396727400 NPPES
Oregon MEDICAID 010350
Oregon Other 018132001
Oregon MEDICAID 1057847

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