Individual
JEFF L BLACKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
238 3RD AVE SE, ALBANY, OR 97321-2857
(541) 791-3411
(541) 791-3423
Mailing address
238 3RD AVE SE, ALBANY, OR 97321-2857
(541) 791-3411
(541) 791-3423
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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