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Individual

JEREMY P FELDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6099
(541) 382-4900
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-4900
(541) 706-5273

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
32825
AZ
207RP1001X
Pulmonary Disease Physician
32825
AZ
207RP1001X
Pulmonary Disease Physician
Primary
MD207608
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500808591
OR
05
862434
AZ
Enumeration date
08/01/2006
Last updated
12/17/2024
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