Individual
DR. JEFFREY SCOTT PELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1022 NW 6TH ST, GRANTS PASS, OR 97526-1114
(541) 476-4545
(541) 479-5985
Mailing address
1022 NW 6TH ST, GRANTS PASS, OR 97526-1114
(541) 476-4545
(541) 479-5985
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2881ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298081
—
OR
Enumeration date
06/09/2005
Last updated
07/08/2007
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