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Individual

MR. JONATHAN C FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
940 ROYAL AVE UNIT 350, MEDFORD, OR 97504-6194
(541) 732-7460
(541) 732-7461
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-7460
(541) 732-7461

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
173401
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
MD171926
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500685979
OR
Enumeration date
06/22/2011
Last updated
06/24/2015
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