Wakeham, Jeff
Wakeham, Jeff is an individual health care provider with primary practice located at 4101 Ne Division St Suite # 100, Gresham OR 97030-4617. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wakeham, Jeff can be contacted via phone (503) 666-3808.Contact Information
Primary practice address
4101 Ne Division St Suite # 100
Gresham OR 97030-4617
Phone: (503) 666-3808
Fax: (503) 666-6835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1467631374 |
|---|---|
| LBN Legal business name | Wakeham, Jeff |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2007 |
| Last updated | Oct 26th, 2007 - about 18 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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