Individual
DR. MICHAEL D JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3377 RIVERBEND DR, SPRINGFIELD, OR 97477-8803
(541) 222-6005
(541) 222-6029
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD27994
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD27994
STATE LICENSE
OR
Enumeration date
11/10/2008
Last updated
08/16/2012
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