Individual
DR. AHREN OTTO GEILENFELDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
70 BOWER DR, MEDFORD, OR 97501-3689
(541) 732-8360
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-8360
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
DO210351
OR
208100000X
Physical Medicine & Rehabilitation Physician
O-1241
ID
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
DO210351
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500805783
—
OR
Enumeration date
06/03/2013
Last updated
08/01/2022
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