Individual
DR. JARED S NUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-3900
Mailing address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 407-2806
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1608 ATI
OR
152W00000X
Optometrist
1821
WA
152WC0802X
Corneal and Contact Management Optometrist
1608 ATI
OR
Other
Enumeration date
08/30/2006
Last updated
04/20/2016
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