Individual
JORDY ALEXANDER TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 NE A ST STE 100, MADRAS, OR 97741-1842
(541) 383-3005
(541) 383-1883
Mailing address
PO BOX 4228, PORTLAND, OR 97208-4228
(541) 383-3005
(541) 383-1883
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
HCI000110982
OR
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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