Organization
JM JEREMY ANDERSON DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J.M. JEREMY ANDERSON DO (PHYSICIAN)
(541) 289-7075
Entity
Organization
Contact information
Practice address
620 NW 11TH ST, SUITE 201, HERMISTON, OR 97838-6941
(541) 289-7075
(541) 289-1189
Mailing address
620 NW 11TH ST, SUITE 201, HERMISTON, OR 97838-6941
(541) 289-7075
(541) 289-1189
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881630440
NPI IND.
OR
05
—
240454
—
OR
01
—
DO26732
MD LICENSE
OR
Enumeration date
03/20/2007
Last updated
03/07/2023
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