Individual
JEREMY TALMADGE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
420 NE MASON ST, CLINIC, PORTLAND, OR 97211-3479
(503) 546-9559
Mailing address
420 NE MASON ST, CLINIC, PORTLAND, OR 97211-3479
(503) 546-9559
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
201242123RN
OR
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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