Walle, Jordan Myungdo

Walle, Jordan Myungdo is an sole proprietor health care provider with primary practice located at 2074 S 6Th St , Klamath Falls OR 97601-3372. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dental Public Health. Dental Providers / Dental Public Health is his primary health care specialty. Walle, Jordan Myungdo can be contacted via phone (541) 851-8110.

Contact Information

Primary practice address
2074 S 6Th St Klamath Falls OR 97601-3372
Phone: (541) 851-8110
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dental Public Health 1223D0001X D11718 Oregon

Profile Details

NPI number 1780330282
LBN Legal business name Walle, Jordan Myungdo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2022
Last updated Feb 20th, 2024 - about 10 months 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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