Individual
JAMIE MEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 G ST, SPRINGFIELD, OR 97477-4112
(541) 726-4400
Mailing address
1460 G ST, SPRINGFIELD, OR 97477-4112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
184605
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2016
Last updated
09/11/2017
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