Individual
CHARLES JERABEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10810 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9787
(503) 813-2000
Mailing address
11876 LITTLE CREEK LN, JACKSONVILLE, FL 32223-7101
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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