Individual
JARED ROSS VAN ORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2327 SW 4TH AVE, ONTARIO, OR 97914-1851
(541) 889-2340
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9598
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C3302
OR
Other
Enumeration date
06/06/2018
Last updated
11/11/2021
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