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Individual

JEFFREY FELDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRM

Contact information

Practice address
7916 SE FOSTER RD STE 201, PORTLAND, OR 97206-4289
(503) 465-2749
Mailing address
PO BOX 16576, PORTLAND, OR 97292-0576
(274) 950-3465

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000004107
OR

Other

Enumeration date
09/30/2020
Last updated
09/30/2020
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