Individual
MR. JEFFREY WAHLIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2445 BEVERLY ST, SPRINGFIELD, OR 97477-1910
(541) 284-3052
Mailing address
2445 BEVERLY ST, SPRINGFIELD, OR 97477-1910
(541) 284-3052
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
06-259
OR
Other
Enumeration date
01/29/2025
Last updated
03/20/2025
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