Individual
JEFFREY V ABSALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 516-3866
(541) 516-3877
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 516-3866
(541) 516-3877
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD17862
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063565
—
OR
Enumeration date
02/18/2006
Last updated
04/01/2013
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