Individual
MR. JEREMY JAMES WEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CNOR, RNFA
Contact information
Practice address
2801 NW MERCY DR, SUITE 200, ROSEBURG, OR 97471-2348
(541) 677-2800
Mailing address
2801 NW MERCY DR, SUITE 200, ROSEBURG, OR 97471-2348
(541) 677-2800
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
096000434RN
OR
Other
Enumeration date
07/10/2015
Last updated
03/11/2016
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