Individual
GORDON JEREMY JURIANSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-6892
Mailing address
1611 BRYDEN LN, SANTA ROSA, CA 95404-3644
(707) 477-4860
(707) 450-1961
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A84655
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A846550
—
CA
Enumeration date
02/14/2007
Last updated
10/25/2022
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