Individual
MR. JEFFREY OTHNIEL NORDTVEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2730 SW PACIFIC BOULEVARD, ALBANY, OR 97321
(541) 967-3866
Mailing address
PO BOX 100, ALBANY, OR 97321-0031
(541) 967-3866
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2014
Last updated
08/01/2019
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