Individual
DERRICK KLEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
300 UNION AVE STE C, GRANTS PASS, OR 97527-5861
(541) 955-9678
(541) 471-4909
Mailing address
300 UNION AVE STE C, GRANTS PASS, OR 97527-5861
(541) 955-9678
(541) 471-4909
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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