Individual
JONATHAN ELDREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 SE 1ST AVE, CANBY, OR 97013-3849
(503) 266-7686
Mailing address
1629 CINNAMON HILL DR SE, SALEM, OR 97306-1442
(734) 787-5305
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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