Individual
JAKE METOLIUS WAITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1253 NW CANAL BLVD, REDMOND, OR 97756-1334
(541) 548-8131
(541) 526-6608
Mailing address
4845 WILLAMETTE FALLS DR, WEST LINN, OR 97068-3346
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20972998
MI
Other
Enumeration date
05/12/2008
Last updated
04/20/2020
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