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Organization

JM JEREMY ANDERSON DO

Active
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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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