Individual
MR. JERROD URIAH WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PWS
Contact information
Practice address
2235 NE SANDY BLVD, PORTLAND, OR 97232-2859
(971) 319-3498
Mailing address
2235 NE SANDY BLVD, PORTLAND, OR 97232-2859
(971) 319-3498
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
717924
NY
175T00000X
Peer Specialist
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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