Individual
JAMIE D. RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 CHILOQUIN BLVD., CHILOQUIN, OR 97624
(541) 882-1487
(541) 783-3273
Mailing address
3949 S 6TH ST, KLAMATH FALLS, OR 97603-4746
(541) 882-1487
(541) 882-1670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53547
GA
207R00000X
Internal Medicine Physician
Primary
MD158391
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001834A
—
GA
05
—
500668345
—
OR
05
—
906893242ABC
—
GA
Enumeration date
08/31/2005
Last updated
03/19/2014
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