Lockwood, Jeffrey

Lockwood, Jeffrey is an individual health care provider with primary practice located at 1330 Commercial St Se , Salem OR 97302-4206. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Lockwood, Jeffrey can be contacted via phone (503) 763-1973.

Contact Information

Primary practice address
1330 Commercial St Se Salem OR 97302-4206
Phone: (503) 763-1973
Fax: (503) 763-8886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 081046589 Oregon

Profile Details

NPI number 1861410078
LBN Legal business name Lockwood, Jeffrey
Credentials RN/CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jun 30th, 2008 - about 16 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 1861410078 NPPES
Oregon MEDICAID 262825
Oregon Other 048475
Oregon Other P00225831
Oregon Other 081046589

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