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:
Health care specialties
| Specialty | Code | License # | 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 11 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 | 1740253103 | NPPES |
| Oregon | Other | 1164780060 | LOCATION NPI |
| Oregon | MEDICAID | 149096 | LOCATION NPI |
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