Individual
BARRETT JEREME WOODHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 NE ELM ST, PRINEVILLE, OR 97754-1206
(541) 447-6254
Mailing address
3311 INDIAN QUEEN LN, APT.#2, PHILADELPHIA, PA 19129-1519
(215) 908-6392
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD28250
OR
Other
Enumeration date
05/01/2008
Last updated
09/30/2020
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