Individual
JEREMY HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
534 E MAIN ST, MEDFORD, OR 97504-7118
(541) 200-1530
Mailing address
534 E MAIN ST, MEDFORD, OR 97504-7118
(541) 200-1530
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000109534
OR
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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