Individual
LARRY R EIDEMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1130 NW 22ND AVE, SUITE 500, PORTLAND, OR 97210-2900
(503) 229-7339
(503) 229-7938
Mailing address
9155 SW BARNES RD, SUITE 830, PORTLAND, OR 97225-6625
(503) 229-7339
(503) 229-7938
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD07236
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234799
—
OR
Enumeration date
06/26/2006
Last updated
05/22/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us