Individual
DR. JAKE DAVID BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
555 W ADAMS ST, BURNS, OR 97720-1408
(541) 573-7778
Mailing address
PO BOX 435, HINES, OR 97738-0435
(541) 573-3838
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8786
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278318
—
OR
Enumeration date
12/05/2006
Last updated
07/09/2007
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