Individual
JASON KEISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
860 BELTLINE RD, SPRINGFIELD, OR 97477-1091
(541) 222-6005
(541) 222-6029
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1459
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD181964
OR
207Q00000X
Family Medicine Physician
TRN20448
FL
Other
Enumeration date
06/24/2014
Last updated
07/21/2022
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